Abstract
Total pharyngeal reconstruction is often undertaken following salvage surgery, when patients have undergone previous chemoradiotherapy, and it is associated with significant morbidity. Optimal reconstruction restores pharyngo-oesophageal continuity to permit swallowing postoperatively. There are a number of reconstructive options described, typically requiring free tissue transfer with a fasciocutaneous anterolateral thigh flap (ALT) or radial forearm flap (RFF).1 When a pedicled flap is desired, pectoralis major flaps are frequently employed, but these are bulky and are associated with significant donor site morbidity.
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