| Glottic and Pharyngeal Recostruction Using Radial Forearm Free Flap with Palmaris Longus Tendon |
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Jong Woo Lee;Kyung Ho Park;Keun Suk Lee;Seung Ho Cho;Min Sik Kim |
| 장장근건과 전완유리피판술을 이용한 성대ㆍ인두재건술 |
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이종우;박경호;이근석;조승호;김민식 |
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| Abstract |
Background and Objectives: As the laryngopharyngeal cancer is usually found at a advanced stage, it is difficult to get a wide surgical margin that preserves functional aspect and that is oncologically safe simultaneously. There were many operative technique to fulfill this principle, but none were satisfactory. Recently there were some reports about glottic and pharyngeal reconstruction using radial forearm free flap(RFFF) with palmaris longus tendon, which provided satisfactory oncologic and functional results. We attempted to perform this technique and to test usefulness at patients of laterally localized laryngopharyngeal tumor.
Materials and Methods: Three patients were reconstructed glottis and pharynx using radial forearm free flap with palmaris longus tendon. Two hypopharyngeal cancer (T2N0M0) patients were performed wide vertical hemilaryngopharyngectomy and one supraglottic cancer(T2N0M0) patient was performed horizontovertical laryngopharyngectomy. Deglutitional function was evaluated with modified barium swallow and speech function was evaluated by speech pathologist.
Results
Mean follow-up time was 29.3 months. There were no cancer recurrence. Their speech was satisfy-actory at social communication and oral feeding. They all have a complete oral nutrition from 26 days to 53 days. Decanulation time was from 71 days to 30 months.
Conclusion
Glottic and pharyngeal reconstruction with radial forearm free flap could be accepted as a promising technique which offers a wide resection margin but satisfactory functional result in lateralized laryngohypopharyngeal cancer patients. |
| Key Words:
Wide vertical hemilaryngopharyngectomy, Radial forearm free flap, Palmaris longus tendon |
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