{"title":"[State of the art-pharyngeal reconstruction].","authors":"Markus Brunner, Stephan Haerle","doi":"10.1007/s00106-024-01535-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Reconstruction of the pharynx after ablative cancer surgery is challenging. Restoration of function and esthetics is at the forefront. There is currently no gold standard for reconstruction. The workhorses for free flap reconstruction are the radial free forearm flap or the anterolateral thigh flap. For medium size defects the free lateral arm flap is an excellent alternative.</p><p><strong>Objective: </strong>The current article discusses the advantages and disadvantages of the different free flap options from the perspective of two experiences head and neck surgeons and describes the usual steps in pharyngeal reconstruction.</p><p><strong>Conclusion: </strong>The ideal choice of reconstruction depends on the size and volume of the defect, the availability of donor vessels, and also on the experience and preference of the surgeon.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"55-59"},"PeriodicalIF":0.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711703/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hno","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00106-024-01535-7","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/10 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Reconstruction of the pharynx after ablative cancer surgery is challenging. Restoration of function and esthetics is at the forefront. There is currently no gold standard for reconstruction. The workhorses for free flap reconstruction are the radial free forearm flap or the anterolateral thigh flap. For medium size defects the free lateral arm flap is an excellent alternative.
Objective: The current article discusses the advantages and disadvantages of the different free flap options from the perspective of two experiences head and neck surgeons and describes the usual steps in pharyngeal reconstruction.
Conclusion: The ideal choice of reconstruction depends on the size and volume of the defect, the availability of donor vessels, and also on the experience and preference of the surgeon.
期刊介绍：
HNO is an internationally recognized journal and addresses all ENT specialists in practices and clinics dealing with all aspects of ENT medicine, e.g. prevention, diagnostic methods, complication management, modern therapy strategies and surgical procedures.
Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of ENT medicine.
Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange.
Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies.
Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
