This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Yasushi Murakami, MD; Taketsugu Ikari, MD; Shigenori Haraguchi, MD; Koji Okada, MD; Takeshi Maruyama, MD; Hideki Tateno, MD

Arch Otolaryngol Head Neck Surg. 1988;114(7):770-774.

Abstract
• We describe three surgical methods used to repair salivary fistulas in different situations that are seen after reconstruction of the pharyngoesophagus in patients with hypopharyngeal cancer. The principle of these methods is the same; a cervical skin flap next to the fistula is used as the internal lining and an anterior chest skin flap is rotated as an external lining to cover it. For the primary closure of heavily irradiated fistulas, this combination may not always be effective, and we emphasize that a combined use of a pedicled pectoralis major muscle flap with these two kinds of pedicled skin flap is extremely reliable.

(Arch Otolaryngol Head Neck Surg 1988;114:770-774)

Author Affiliations
From the Department of Otolaryngology, Keio University School of Medicine, Tokyo.

Footnotes
Accepted for publication Feb 29, 1988.

Reprint requests to Department of Otolaryngology, Keio University School of Medicine, 35 Shinanomachi, Shinjyuku-Ku, Tokyo 160, Japan (Dr Murakami).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?