Academic Journal
Comparison of Outcomes Between Free Ileocolonic and Tube‐Shaped ALT Fasciocutaneous Flaps in Total Hypopharyngeal Defect Reconstruction
| Title: | Comparison of Outcomes Between Free Ileocolonic and Tube‐Shaped ALT Fasciocutaneous Flaps in Total Hypopharyngeal Defect Reconstruction |
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| Authors: | Jian‐Xun Chen, Ta‐I Wang, Shane D. Morrison, Mei‐Chen Lin, Pin‐Keng Shih |
| Source: | Head & Neck. |
| Publisher Information: | Wiley, 2025. |
| Publication Year: | 2025 |
| Description: | ObjectivesThis study compares the outcomes of free ileocolonic and tube‐shaped anterolateral thigh (ALT) fasciocutaneous flaps in reconstructing total hypopharyngeal defects.MethodsA retrospective analysis was conducted on 76 patients who underwent reconstruction with either an ileocolonic flap (n = 20) or a tube‐shaped ALT flap (n = 56) between 2011 and 2021. Primary outcomes included dietary tolerance at 1 and 3 years, pharyngocutaneous fistula rates, and survival. Statistical analyses assessed group differences in complications and dietary restrictions.ResultsThe ileocolonic flap group demonstrated superior dietary outcomes at 1 and 3 years (90% vs. 62.5% and 90% vs. 51.4%, respectively) but had a higher fistula rate (25% vs. 7.1%, p = 0.048). No significant differences in survival were observed between the groups.ConclusionThe ileocolonic flap offers better long‐term dietary outcomes despite higher early fistula rates. Further research is recommended to optimize flap selection for hypopharyngeal reconstruction. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.70051 |
| Rights: | Wiley Online Library User Agreement |
| Accession Number: | edsair.doi...........994ec816b046219da1ab4f165d02166d |
| Database: | OpenAIRE |
| ISSN: | 10970347 10433074 |
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| DOI: | 10.1002/hed.70051 |