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- W4382393508 abstract "BackgroundTo date, few comparative studies exist for partial hypopharyngeal defect reconstruction following total laryngectomy. In the absence of objective evidence from comparative studies, the ideal flap choice remains controversial, and has led to heterogeneity in institutional treatment protocols. Comparative studies between different reconstructive techniques are required. Therefore, this study compared postoperative outcomes of pectoralis major myocutaneous (PMMC) and myofascial (PMMF) flaps.MethodsA single-center retrospective cohort study was performed between 2000-2022, which included all consecutive patients who underwent a PMMC or PMMF flap reconstruction following total laryngectomy and partial hypopharyngectomy. Primary outcomes were suture line leakages (conservative management), fistulas (surgical management), and strictures. Secondary outcomes included flap failure, donor-site morbidity, and the start of oral intake.ResultsIn total, 122 patients were included (109 PMMC and 13 PMMF flap reconstructions). The incidence of suture line leakage was significantly higher (p=0.007) after PMMC flaps (57%) compared to PMMF flaps (15%). Between PMMC and PMMF flaps, fistula (19% vs. 0%) and stricture rates (22% vs. 15%) did not differ significantly. No differences in flap failure, donor-site morbidity or start of oral intake were observed.ConclusionsPMMF flaps have inherent advantages (e.g., reduced bulk, increased pliability) over conventional PMMC flaps and have non-inferior results compared to the latter in terms of postoperative complications. While the final choice for reconstruction should be patient-tailored, a PMMF flap can be considered a reliable primary choice which is feasible in most patients." @default.
- W4382393508 created "2023-06-29" @default.
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- W4382393508 date "2023-10-01" @default.
- W4382393508 modified "2023-10-14" @default.
- W4382393508 title "Reconstruction of partial hypopharyngeal defects following total laryngectomy: Pectoralis major myofascial versus myocutaneous flaps" @default.
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- W4382393508 doi "https://doi.org/10.1016/j.bjps.2023.06.050" @default.
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