Publication details

Rekonstrukce hypofaryngu ALT volným lalokem - kazuistika

Title in English ALT free flap hypopharyngeal reconstruction – case report
Authors

KEMPNÝ Tomáš KNOZ Martin LIPOVÝ Břetislav PASKA Jan JANOUŠEK Petr

Year of publication 2017
Type Article in Periodical
Magazine / Source Onkologie
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.onkologiecs.cz/artkey/xon-201706-0009_rekonstrukce_hypofaryngu_alt_volnym_lalokem_8211_kazuistika.php
Doi http://dx.doi.org/10.36290/xon.2017.058
Keywords ALT flap; hypopharyngeal defect; laryngeal neoplasia
Description Polymorbid 64 - year old patient was hospitalized at the Department of Reconstructive Surgery, University Hospital Brno. Thepatient was treated for laryngeal neoplasia surgically by laryngectomy and block dissection of cervical lymph nodes, adjuvantradiotherapy with subsequent development of hypopharyngeal fistula. Nutrition of the patient was ensured by percutaneousendoscopic gastrostomy (PEG) and permanent tracheostomy has been drawn. After radical debridement of defect and identificationof vessels – right internal mammary artery and right internal mammary vein the decision was made to reconstruct the defectof the hypopharynx and ventral cervical defect with free musculocutaneus anterolateral thigh flap (ALT) variant "tube in tube".The patient benefited from closure of the hypopharyngeal defect, restoration of hypopharyngeal function in ingestion and oralhydration occured, the body weight increased, PEG was closed. Finally, patient benefited from the procedure psychoemotionalyand socialy.

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