Abstract
Fasciocutaneous (FC) free flaps have become a first-line reconstructive option for patients that undergo pharyngeal resection. With failure rates of less than 2%, FC free flaps provide a reliable reconstruction option. With these patients having an overall poor prognosis, it is important to attempt to restore both form and function with a minimal number of operations. FC free flaps have shown to be effective with a majority of patients being able to return to intelligible speech and oral diet.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Azizzadeh B, Yafai S, Rawnsley JD, et al. Radial forearm free flap pharyngoesophageal reconstruction. Laryngoscope. 2001;111(5):807-810. https://doi.org/10.1097/00005537-200105000-00010
Lawson BR, Moreno MA. Head and Neck Reconstruction with Chimeric Anterolateral Thigh Free Flap: Indications, Outcomes, and Technical Considerations. Otolaryngol Head Neck Surg. 2016;154(1):59-65. https://doi.org/10.1177/0194599815606438
Murray DJ, Novak CB, Neligan PC. Fasciocutaneous free flaps in pharyngolaryngo-oesophageal reconstruction: a critical review of the literature. J Plast Reconstr Aesthet Surg. 2008;61(10):1148-1156. https://doi.org/10.1016/j.bjps.2007.09.030
Patel RS, Goldstein DP, Brown D, Irish J, Gullane PJ, Gilbert RW. Circumferential pharyngeal reconstruction: history, critical analysis of techniques, and current therapeutic recommendations. Head Neck. 2010;32(1):109-120. https://doi.org/10.1002/hed.21169
Park CW, Miles BA. The expanding role of the anterolateral thigh free flap in head and neck reconstruction. Curr Opin Otolaryngol Head Neck Surg. 2011;19(4):263-268. https://doi.org/10.1097/MOO.0b013e328347f845
Sokoya M, Bahrami A, Vincent A, et al. Pharyngeal Reconstruction with Microvascular Free Tissue Transfer. Semin Plast Surg. 2019;33(1):78-80. https://doi.org/10.1055/s-0039-1677877
Wehage IC, Fansa H. Complex reconstructions in head and neck cancer surgery: decision making. Head Neck Oncol. 2011;3:14. Published 2011 Mar 8. https://doi.org/10.1186/1758-3284-3-14
Welkoborsky HJ, Deichmüller C, Bauer L, Hinni ML. Reconstruction of large pharyngeal defects with microvascular free flaps and myocutaneous pedicled flaps. Curr Opin Otolaryngol Head Neck Surg. 2013;21(4):318-327. https://doi.org/10.1097/MOO.0b013e3283631ea2
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Davis, K.P., Moreno, M.A. (2023). Reconstruction of Pharyngeal Defects with Anterolateral Thigh and Radial Forearm Free Flaps. 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_99
Download citation
DOI: https://doi.org/10.1007/978-3-031-24981-5_99
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-24980-8
Online ISBN: 978-3-031-24981-5
eBook Packages: MedicineMedicine (R0)