De Frémicourt M K, Temam S, Janot F, Kolb F, Qassemyar Q
Service de chirurgie plastique et reconstructrice, Gustave-Roussy, Cancer Campus Grand Paris, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
Département de cancérologie cervicofaciale, Gustave-Roussy, Cancer Campus Grand Paris, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
Ann Chir Plast Esthet. 2018 Feb;63(1):69-74. doi: 10.1016/j.anplas.2017.09.004. Epub 2017 Oct 9.
Today's customary techniques for pharyngo-esophageal reconstruction are jejunum and radial forearm free flaps. In this type of reconstruction, the jejunum flap is considered as the reference, but when its harvesting is not possible, the radial forearm flap is used. Since perforator flaps have begun to be developed, the anterolateral thigh flap (ATF) has become increasingly prominent in pharyngo-esophageal reconstruction. The aim of our study was to describe the use of the anterolateral perforator flap in pharyngo-esophageal reconstruction (indications, harvesting method, flap design) and to discuss its advantages and drawbacks as regards oral feeding and esophageal speech.
