Artikel
Revision surgery for pharyngeal necrosis after radiotherapy or total laryngectomy in larynx carcinomas
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Veröffentlicht: | 22. April 2008 |
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Introduction: Total laryngectomy with partial or total hypopharyngo-laryngectomy presents severe reconstructive problems, specially after radiotherapy, due to the necessity of creating a tubular structure with complex functional activity like phonation, swallowing, in a septic area, with vascular trouble.
Methods: In the ENT Department of “Sf. Spiridon” University Hospital, Iasi, Romania, 323 patients were solved by surgical methods for larynx or hypopharynx malign tumours between 2001–2006. In this presentation, we discussed about 23 cases which were solved by different types of flaps for closing the pharynx defects or pharynx cutaneous fistula.
Results: The results suggested that the reconstructive method should be selected with reference to the type of deffect, the simplicity of harvesting and the donor site.
Conclusions: In patients receiving radiotherapy, we must consider to appreciate the kind of flaps for closing the pharynx defect whose blood supply was affected by radiotherapy or surgical excise.