THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York.
Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York.
J Surg Oncol. 2019 Dec;120(8):1446-1449. doi: 10.1002/jso.25758. Epub 2019 Nov 16.
Pharyngoesophageal stenosis (PES) is a common and serious complication of head and neck cancer treatments such as radiation therapy, chemotherapy, tracheoesophageal puncture placement, and total laryngectomy surgery. Dilation-resistant stenosis requires surgical reconstruction, often with a radial forearm free flap (RFFF). With the present technique, the authors refine their previous bipaddled free flap design used to reconstruct a persistent tracheoesophageal fistulae (TEF) in combination with PES. Accordingly, we present a novel bipaddled triangular RFFF design ideally suited to address the shape of the defect in the posterior tracheal wall that results when the TEF is opened and the esophageal and tracheal components are restored.
咽食管狭窄（PES）是头颈部癌症治疗的常见且严重的并发症，这些治疗方法包括放射治疗、化学治疗、气管食管造口术和全喉切除术。扩张抵抗性狭窄需要手术重建，通常使用游离前臂桡侧皮瓣（RFFF）。作者在先前用于重建持续性气管食管瘘（TEF）合并 PES 的双桨游离皮瓣设计的基础上，对该技术进行了改进。因此，我们提出了一种新的双桨三角形 RFFF 设计，非常适合解决 TEF 开放和食管-气管成分重建时导致的后气管壁缺陷的形状。
