Skip to main content
SpringerLink
Log in

Bipedicles chest flap: a novel technique for the reconstruction of anterior neck defect

  • Head and Neck
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

This paper presents our surgical technique and the results of using bipedicled superior chest flaps for head and neck reconstructions. The study design consisted of a case series of surgical technique. The study was conducted at tertiary referral centers with otorhinolaryngology-head and neck surgery departments. In seven patients, we used bipedicled superior chest flaps for reconstruction of anterior cutaneous neck defects due to surgery for the recurrence of laryngopharyngeal carcinoma. The largest flap size was 45 × 14 cm. All donor sites were closed primarily with advancement in the lateral part and split thickness skin grafts in the superior midline of chest. The highest point of reconstruction was in the hypopharynx internally and hyoid externally. All flaps survived without major complications. A bipedicled upper chest flap can reliably cover the skin defects that create following salvage total laryngectomies in patients with advanced stage tumors with skin involvement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Cummings. Otolaryngology, head and neck surgery, 5th edn. Mosby Elsevier, pp 1482–1512

  2. Patel UA, Keni SP (2009) Pectoralis myofascial flap during salvage laryngectomy prevents pharyngocutaneous fistula. Otolaryngol Head Neck Surg 141(2):190–195

    Article  PubMed  Google Scholar 

  3. Ganly I, Patel S, Matsuo J et al (2005) Postoperative complications of salvage total laryngectomy. Cancer 103:2073–2081

    Article  PubMed  Google Scholar 

  4. Grau C, Johansen LV, Hansen HS et al (2003) Salvage laryngectomy and pharyngocutaneous fistulae after primary radiotherapy for head and neck cancer: a national survey from DAHANCA. Head Neck 25:711–716

    Article  PubMed  Google Scholar 

  5. Withrow KP, Rosenthal EL, Gourin CG et al (2007) Free tissue transfer to manage salvage laryngectomy defects after organ preservation failure. Laryngoscope 117:781–784

    Article  PubMed  Google Scholar 

  6. Cavalot AL, Gervasio CF, Nazionale G et al (2000) Pharyngocutaneous fistula as a complication of total laryngectomy: review of the literature and analysis of case records. Otolaryngol Head Neck Surg 123:587–592

    Article  PubMed  CAS  Google Scholar 

  7. Saki N, Nikakhlagh S, Kazemi M (2008) Pharyngocutaneous fistula after laryngectomy: incidence, predisposing factors, and outcome. Arch Iran Med 11(3):314–317

    PubMed  Google Scholar 

  8. Antohi N, Tibirna G, Suharski I (1993) Microvascular free tissue reconstruction after total laryngectomy. Eur J Plast Surg 16(4–5):198–203

    Google Scholar 

  9. Ugurlu K, Karsidag T, Akcal A, Karsidag S, Yazar M, Seven H (2011) Bare serratus anterior free flap in the reconstruction of the partial pharyngoesophageal defect. J Craniofac Surg 22:1010–1012

    Article  PubMed  Google Scholar 

  10. Bogdasarian JR, Healy GB, Di Troia J, Shapshay SM, Strong MS (1981) A sliding chest wall flap for the management of advanced laryngeal carcinoma with anterior cervical skin invasion. Laryngoscope 91(4):644–648

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Otorhinolaryngology-Head and Neck Surgery Department, Ghaem Educational Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

    Masoud Naghibzadeh & Shirin Irani

  2. Ear, Nose and Throat Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

    Mehdi Bakhshaee

  3. Department of Anatomy and Cell Biology, Medical Genetic Research Center (MGRC), School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

    Hossein Haghir

Authors
  1. Masoud Naghibzadeh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mehdi Bakhshaee
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shirin Irani
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hossein Haghir
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mehdi Bakhshaee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Naghibzadeh, M., Bakhshaee, M., Irani, S. et al. Bipedicles chest flap: a novel technique for the reconstruction of anterior neck defect. Eur Arch Otorhinolaryngol 270, 1427–1431 (2013). https://doi.org/10.1007/s00405-012-2135-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-012-2135-z

Keywords

Search

Navigation