Delayed platysma myocutaneous turnover flap for repair of pharyngocutaneous fistula

作者：Neubauer Paul^*; Canadas Karina; Sasaki Clarence T

来源：American Journal of Otolaryngology, 2015, 36(1): 93-96.

DOI：10.1016/j.amjoto.2014.08.015

Introduction: Pharyngocutaneous fistula (PCF) is a common and serious complication after total laryngectomy. Numerous surgical and non-surgical treatment approaches have been described. Here we describe a platysma myocutaneous turnover flap for repair of PCF.
Materials and methods: Platysma myocutaneous turnover flap is described and two patients are used as examples.
Results: Repair was initially successful in both patients; however, one patient had recurrence of fistula after her cancer recurred at the stoma.
Discussion: Numerous surgical techniques have been described for repair of PCF. Here a turnover flap was used, a technique not previously described for this problem. The delay technique enhances the viability of the flap thought to be through numerous mechanisms.
Conclusion: The platysma myocutaneous turnover flap is useful for closure of pharyngocutaneous fistula when non-operative measures have failed.

• 出版日期2015-2