| Affiliation: | 1. THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York;2. Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York;3. 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 |
| Abstract: | 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. |
