Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction
Abstract Background We usually use an ALT or peroneal flap in total laryngectomy reconstruction, depending on the surgeons' preference. No direct comparison of the outcomes of the ALT flap and peroneal flap exists. Methods From 2014 to 2022, we reviewed patients who had total laryngectomy and w...
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Format: | Article |
Language: | English |
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Wiley
2023-06-01
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Series: | Laryngoscope Investigative Otolaryngology |
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Online Access: | https://doi.org/10.1002/lio2.1062 |
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author | Yu‐Hsuan Hsieh I‐Wen Chen Cheng‐Ta Lin Kuo‐Chung Yang Wen‐Chung Liu Ching‐Ching Chiu Shih‐Yu Lee Lee‐Wei Chen |
author_facet | Yu‐Hsuan Hsieh I‐Wen Chen Cheng‐Ta Lin Kuo‐Chung Yang Wen‐Chung Liu Ching‐Ching Chiu Shih‐Yu Lee Lee‐Wei Chen |
author_sort | Yu‐Hsuan Hsieh |
collection | DOAJ |
description | Abstract Background We usually use an ALT or peroneal flap in total laryngectomy reconstruction, depending on the surgeons' preference. No direct comparison of the outcomes of the ALT flap and peroneal flap exists. Methods From 2014 to 2022, we reviewed patients who had total laryngectomy and were reconstructed with an ALT flap and peroneal flap. Patient characteristics and surgical outcomes were collected and compared. Results The peroneal group had a significantly higher risk of neopharynx leakage (40% vs. 13.2%, p = .020) and late pharyngocutaneous fistula formation (30% vs. 5.3%, p = .009) than the ALT group. Peroneal flap was found to be the only independent risk factor for neopharynx leakage (p = .025, odds ratio [OR] = 5.5) and late pharyngocutaneous fistula formation (p = .02, OR = 7.7) in multivariate logistic regression. Conclusion In the reconstruction of total laryngectomy, the ALT flap is preferable over the peroneal flap. |
first_indexed | 2024-03-13T04:32:10Z |
format | Article |
id | doaj.art-9905505a5e114becbab0c8c11ac93df6 |
institution | Directory Open Access Journal |
issn | 2378-8038 |
language | English |
last_indexed | 2024-03-13T04:32:10Z |
publishDate | 2023-06-01 |
publisher | Wiley |
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series | Laryngoscope Investigative Otolaryngology |
spelling | doaj.art-9905505a5e114becbab0c8c11ac93df62023-06-19T10:16:46ZengWileyLaryngoscope Investigative Otolaryngology2378-80382023-06-018364565010.1002/lio2.1062Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstructionYu‐Hsuan Hsieh0I‐Wen Chen1Cheng‐Ta Lin2Kuo‐Chung Yang3Wen‐Chung Liu4Ching‐Ching Chiu5Shih‐Yu Lee6Lee‐Wei Chen7Division of Plastic and Reconstructive Surgery, Department of Surgery Kaohsiung Veterans General Hospital Kaohsiung City TaiwanDepartment of Pediatrics Kaohsiung Veterans General Hospital Kaohsiung City TaiwanDivision of Plastic Surgery Chi Mei Medical Center Liouying TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery Kaohsiung Veterans General Hospital Kaohsiung City TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery Kaohsiung Veterans General Hospital Kaohsiung City TaiwanDepartment of Otolaryngology Kaohsiung Veterans General Hospital Kaohsiung City TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery Kaohsiung Veterans General Hospital Kaohsiung City TaiwanDivision of Plastic and Reconstructive Surgery, Department of Surgery Kaohsiung Veterans General Hospital Kaohsiung City TaiwanAbstract Background We usually use an ALT or peroneal flap in total laryngectomy reconstruction, depending on the surgeons' preference. No direct comparison of the outcomes of the ALT flap and peroneal flap exists. Methods From 2014 to 2022, we reviewed patients who had total laryngectomy and were reconstructed with an ALT flap and peroneal flap. Patient characteristics and surgical outcomes were collected and compared. Results The peroneal group had a significantly higher risk of neopharynx leakage (40% vs. 13.2%, p = .020) and late pharyngocutaneous fistula formation (30% vs. 5.3%, p = .009) than the ALT group. Peroneal flap was found to be the only independent risk factor for neopharynx leakage (p = .025, odds ratio [OR] = 5.5) and late pharyngocutaneous fistula formation (p = .02, OR = 7.7) in multivariate logistic regression. Conclusion In the reconstruction of total laryngectomy, the ALT flap is preferable over the peroneal flap.https://doi.org/10.1002/lio2.1062cancerlaryngectomyperoneal flappharyngoesophagealreconstruction |
spellingShingle | Yu‐Hsuan Hsieh I‐Wen Chen Cheng‐Ta Lin Kuo‐Chung Yang Wen‐Chung Liu Ching‐Ching Chiu Shih‐Yu Lee Lee‐Wei Chen Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction Laryngoscope Investigative Otolaryngology cancer laryngectomy peroneal flap pharyngoesophageal reconstruction |
title | Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction |
title_full | Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction |
title_fullStr | Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction |
title_full_unstemmed | Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction |
title_short | Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction |
title_sort | comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction |
topic | cancer laryngectomy peroneal flap pharyngoesophageal reconstruction |
url | https://doi.org/10.1002/lio2.1062 |
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