Laryngotracheal and esophageal functional reconstruction using a single anterolateral thigh flap - 29/10/24

Doi : 10.1016/j.anorl.2024.07.011

O. Piccin ^a,^b,⁎ , F. Contedini ^c, V. Sciarretta ^d, V. Pinto ^e
^a Centre for Medical Sciences, University of Trento, Italy.15, 40138 Bologna, Italy
^b Division of Otolaryngology Head and Neck Surgery, S.-Chiara Hospital, Trento, Italy
^c Plastic and Reconstructive Surgery Unit, Azienda Ospedaliero Universitaria di Ferrara, Arcispedale Sant’Anna, Cona, Italy
^d Department of Otolaryngology Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S.-Orsola, via Albertoni 15, 40138 Bologna, Italy
^e Division of Plastic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University Hospital of Modena and Reggio Emilia, 41124 Modena, Italy

^⁎Corresponding author: Centre for Medical Sciences, University of Trento, Italy.15, 40138 Bologna, Italy.Centre for Medical Sciences, University of Trento, Italy.15Bologna40138Italy

En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Tuesday 29 October 2024

Abstract

The main goal for treatment of locally advanced thyroid carcinoma invading the laryngotracheal and esophageal complex, is radical surgical excision and reconstruction of a functional aerodigestive tract. We describe a challenging surgical technique in which a wide laryngotracheal and esophageal defect was functionally reconstructed using a single anterolateral thigh flap. This can represent a good option for a tailored functional reconstruction of extended defects of the aerodigestive tract.

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Keywords : Locally advanced thyroid carcinoma, Aerodigestive tract invasion, Tracheal invasion, Esophageal invasion, Reconstruction