A new option with the pedicle thoracoacromial artery perforator flap for hypopharyngeal reconstructions.


Journal Article

The reconstruction of hypopharyngeal defects should focus on minimizing morbidity in a high-risk population while achieving adequate functional results with regard to the restoration of speech, swallowing, and airway control. We introduce the clinical application of the thoracoacromial artery perforator (TAAP) flap as a new reconstructive option for hypopharyngeal defects.This method was used to restore oncologic hypopharyngeal defects in nine patients: three who had previous irradiation and surgery, one who had previous surgery only, and another who had previous radiotherapy only.All of the TAAP flaps of our series were transferred successfully and survived entirely. The donor sites were closed primarily in all cases. No fistulas, stenosis/strictures, dehiscence, or swelling occurred. Pectoralis major muscle function was completely preserved in all patients.The use of TAAP flap to reconstruct hypopharyngeal defect is a simple and effective method that does not require microsurgical skills. The flap is thin and pliable, with a reliable blood supply.4. Laryngoscope, 126:1315-1320, 2016.

Full Text

Cited Authors

  • Zhang, YX; Li, Z; Grassetti, L; Lazzeri, D; Nicoli, F; Zenn, MR; Zhou, X; Spinelli, G; Yu, P

Published Date

  • June 2016

Published In

Volume / Issue

  • 126 / 6

Start / End Page

  • 1315 - 1320

PubMed ID

  • 26394236

Pubmed Central ID

  • 26394236

Electronic International Standard Serial Number (EISSN)

  • 1531-4995

International Standard Serial Number (ISSN)

  • 0023-852X

Digital Object Identifier (DOI)

  • 10.1002/lary.25675


  • eng