Delayed platysma myocutaneous turnover flap for repair of pharyngocutaneous fistula

Abstract

IntroductionPharyngocutaneous fistula (PCF) is a common and serious complication after total laryngectomy. Numerous surgical and non-surgical treatment approaches have been described. Here we describe a platysma myocutaneous turnover flap for repair of PCF. Materials and methodsPlatysma myocutaneous turnover flap is described and two patients are used as examples. ResultsRepair was initially successful in both patients; however, one patient had recurrence of fistula after her cancer recurred at the stoma. DiscussionNumerous surgical techniques have been described for repair of PCF. Here a turnover flap was used, a technique not previously described for this problem. The delay technique enhances the viability of the flap thought to be through numerous mechanisms. ConclusionThe platysma myocutaneous turnover flap is useful for closure of pharyngocutaneous fistula when non-operative measures have failed.