Chimeric thoracoacromial artery perforator flap for one‐staged reconstruction of complex pharyngoesophageal defects: A single unit experience

• DOI: 10.1002/hed.24962
• Publication Date: 2017-10-11T15:12:37Z
• Authors: Dajiang Song; Georgios Pafitanis; Luis Eduardo Parr...; Peng Yang; Isao Koshima; Yixin Zhang; Takuya Iida; Xiao Zhou; Zan Li
• Keywords: Perforator flaps

Abstract Background Circumferential hypopharyngeal defects with anterior neck skin loss often require double‐stacked or chimeric flaps to achieve good surgical outcomes. The thoracoacromial artery perforator (TAAP) flap is a simple and reliable method for defect reconstruction. Methods From March 2012 February 2015, 19 male patients an average age of 62 years (range 42‐81 years) underwent complex pharyngoesophageal reconstruction TAAP flaps. Results All who achieved optimal functional donor sites were closed primarily. length hospital stay was 12.5 days 10‐19 days). returned back normal nutrition after 8 weeks postoperatively. follow‐up period 19.3 months 14‐48 months). Conclusion innovative local alternative solution circumferential when free tissue transfer contraindicated vessels are depleted.