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Reconstruction of Laryngopharyngectomy Defects with Fasciocutaneous Supraclavicular Artery Island Flap

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Matrix Head and Neck Reconstruction

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Abstract

Closure of the pharynx after laryngopharyngectomy aims to separate the aerodigestive tract from the neck and to provide a conduit for future oral alimentation and speech rehabilitation. Primary closure may be achieved in patients without or with limited prior treatment who have sufficient remnant pharyngeal mucosa to create a patent neopharynx. In the setting of significant prior treatment or limited pharyngeal remnant, however, augmentation with vascularized tissue using an onlay or interposition flap technique has been utilized to decrease rates of pharyngocutaneous fistula and stricture formation.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology-HNS, Massachusettes Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA

    Daniel G. Deschler & Andrew J. Holcomb

  2. Department of Otolaryngolgy-HNS, Methiodist Eastbrook Cancer Center, Creighton University, Omaha, NE, USA

    Andrew J. Holcomb

Authors
  1. Daniel G. Deschler
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  2. Andrew J. Holcomb
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Corresponding author

Correspondence to Daniel G. Deschler .

Editor information

Editors and Affiliations

  1. Otolaryngology-HNS, Southern Illinois University School of M, Springfield, IL, USA

    Brendan C. Stack Jr.

  2. Department of Otolaryngology-HNS, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Mauricio A. Moreno

  3. Department of Otolaryngology-HNS, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Jennings R. Boyette

  4. Department of Otolaryngology-HNS, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Emre A. Vural

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Deschler, D.G., Holcomb, A.J. (2023). Reconstruction of Laryngopharyngectomy Defects with Fasciocutaneous Supraclavicular Artery Island Flap. In: Stack Jr., B.C., Moreno, M.A., Boyette, J.R., Vural, E.A. (eds) Matrix Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24981-5_101

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  • DOI: https://doi.org/10.1007/978-3-031-24981-5_101

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-24980-8

  • Online ISBN: 978-3-031-24981-5

  • eBook Packages: MedicineMedicine (R0)

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