Introduction: Pharyngocutaneous 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 methods: Platysma myocutaneous turnover flap is described and two patients are used as examples.
Results: Repair was initially successful in both patients; however, one patient had recurrence of fistula after her cancer recurred at the stoma.
Discussion: Numerous 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.
Conclusion: The platysma myocutaneous turnover flap is useful for closure of pharyngocutaneous fistula when non-operative measures have failed.
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