TY - JOUR
T1 - The use of a chimaeric sero-muscular flap to prevent anastomotic leakage in head and neck reconstruction with free ileocolon flap
AU - Perrone, Francesco
AU - Gharb, Bahar Bassiri
AU - Rampazzo, Antonio
AU - Ngo, Quan Dinh
AU - Chen, Hung Chi
PY - 2012/6/1
Y1 - 2012/6/1
N2 - Background: In simultaneous reconstructions of cervical oesophagus and voice mechanism with free ileocolon flap, one of the most cumbersome complications is the anastomotic leakage at the junction between the colon and thoracic oesophagus. Methods: Since 2007, a chimaeric sero-muscular flap has been islanded from the distal end of the voice tube to cover the anterior aspect of the colo-oesophageal junction. Fourteen patients undergoing reconstruction of the hypopharyngo-laryngectomy defects were consecutively treated with the sero-muscular flap. The leakage rate was compared with a group of 15 patients who were reconstructed with a free ileocolon flap prior to the adoption of the new procedure. Results: All flaps survived completely. Swallowing function (scores 5-7), was restored in 69% of the patients. Speech function was restored (scores 4-5) in 59% of the patients. In the treatment group, only one patient suffered from anastomotic leakage compared to four patients in the control group. Conclusions: The chimaeric sero-muscular flap can secure the colo-oesophageal junction, improving the healing process and preventing delays in the administration of adjuvant therapy.
AB - Background: In simultaneous reconstructions of cervical oesophagus and voice mechanism with free ileocolon flap, one of the most cumbersome complications is the anastomotic leakage at the junction between the colon and thoracic oesophagus. Methods: Since 2007, a chimaeric sero-muscular flap has been islanded from the distal end of the voice tube to cover the anterior aspect of the colo-oesophageal junction. Fourteen patients undergoing reconstruction of the hypopharyngo-laryngectomy defects were consecutively treated with the sero-muscular flap. The leakage rate was compared with a group of 15 patients who were reconstructed with a free ileocolon flap prior to the adoption of the new procedure. Results: All flaps survived completely. Swallowing function (scores 5-7), was restored in 69% of the patients. Speech function was restored (scores 4-5) in 59% of the patients. In the treatment group, only one patient suffered from anastomotic leakage compared to four patients in the control group. Conclusions: The chimaeric sero-muscular flap can secure the colo-oesophageal junction, improving the healing process and preventing delays in the administration of adjuvant therapy.
KW - Anastomotic leakage
KW - Chimaeric sero-muscular flap
KW - Colo-oesophageal junction
KW - Entero-cutaneous fistula
KW - Free ileocolon flap
KW - Tracheo-oesophageal fistula
UR - http://www.scopus.com/inward/record.url?scp=84862814351&partnerID=8YFLogxK
U2 - 10.1016/j.bjps.2011.12.025
DO - 10.1016/j.bjps.2011.12.025
M3 - Article
C2 - 22366536
AN - SCOPUS:84862814351
VL - 65
SP - 752
EP - 756
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
SN - 1748-6815
IS - 6
ER -