Onkologie. 2017:11(6):315-318 | DOI: 10.36290/xon.2017.058

ALT free flap hypopharyngeal reconstruction – case report

Tomáš Kempný^{1, 2}, Martin Knoz^{2, 3, 4}, Jan Paska⁵, Petr Janoušek⁵, Břetislav Lipový^{2, 3}

1Department of Plastic and Reconstructive Surgery, Klinikum Wels – Grieskirchen, Rakousko

2Klinika popálenin a rekonstrukční chirurgie, Fakultní nemocnice Brno, Brno

3Lékařská Fakulta Masarykovy univerzity, Brno

4Klinika plastické a estetické chirurgie, Fakultní nemocnice u sv. Anny, Brno

5ORL oddělení, Thomayerova nemocnice, Praha

6ORL oddělení, Nemocnice Na Homolce, Praha

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.

Keywords: ALT flap, hypopharyngeal defect, laryngeal neoplasia

Published: December 1, 2017  Show citation