Eine Möglichkeit der Pharynxrekonstruktion mit Stimmrehabilitation nach Laryngopharyngektomie

Summary

In cases of large pharyngeal carcinomas resection of most of the upper digestive tract of this region is necessary.

For one-stage reconstruction we use the island flap technique. The myocutaneous island flap of the pectoralis major muscle allows a variety of reconstructive possibilities by using it.

For this purpose and for functional reasons we have to maintain the nerve bundles which innervate the myocutaneous island flap. Electromyographics shows the importance of this postulation.

In addition to the concept of one-staged reconstruction it is essential that our technique allows surgical speech rehabilitation, tongue motility and good swallowing.