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Vertical hemipharyngolaryngectomy: reconstruction with the radial forearm free flap.

par Chantrain, Gilbert ;Deraemaecker, Rika ;Andry, Guy ;Thill, Marie Paule ;Greant, P
Référence European journal of surgical oncology, 15, 6, page (564-567)
Publication Publié, 1989-12

Article révisé par les pairs

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Résumé :

A considerable body of literature defines techniques to restore glottic function after partial laryngectomy. The authors of this paper describe a new original technique for glottic and hypopharyngeal reconstruction after vertical hemipharyngolaryngectomy. Using a radial forearm free flap including the tendon of the palmaris longus and a sensitive branch of the radial nerve, they were able to reconstruct the missing vocal cord and a pyriform fossa. This procedure permits an extended resection without the usual phonatory or swallowing inconveniences. There is no contraindication for postoperative radiotherapy. The technique and preliminary functional results are reported.