The patient's condition was complicated by a dehiscence of the free flap at the left neopharynx
with subsequent hemorrhage, which was controlled in the operating room on postoperative day 20.
The onlay method refers to placing a pectoralis myofascial flap on top of the neopharyngeal closure without actually augmenting the neopharynx wall.
One patient had a stapler assisted closure of the neopharynx.
This usually takes about 30 to 60 minutes to perform, and it creates a watertight neopharynx, thereby allowing the patient to resume oral intake after a period of healing.
It is important to place the stapler below the pharyngostomy in order to seal off any connection between the cervical contents and neopharynx.
These pressures increased for the participant with a total laryngectomy and chemoradiation, resulting in the ability to clear thicker liquid consistencies from the neopharynx
but did not approach those recorded for a normal control.
Barium swallow demonstrated its connection with the neopharynx
17) They found that the risk of a pharyngocutaneous fistula was associated with the use of a pectoralis major myocutaneous flap to reconstruct the neopharynx
, primary disease in the piriform sinus, and extensive soft-tissue infiltration.
9%) had undergone traditional suture closure of the neopharynx (suture group) and 16 patients (38.
While total laryngectomy is a time-honored treatment for laryngeal cancer, the optimal technique for achieving mucosal closure of the neopharynx has been a topic of debate.
A cervical approach might also have resulted in an inadvertent entry into the neopharynx
TEP allows for direct visualization of the surgical site in the neopharynx
throughout the duration of the procedure, thereby ensuring maximum safety and appropriate and immediate placement of the voice prosthesis.