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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Main Authors: Yu‐Hsuan Hsieh, I‐Wen Chen, Cheng‐Ta Lin, Kuo‐Chung Yang, Wen‐Chung Liu, Ching‐Ching Chiu, Shih‐Yu Lee, Lee‐Wei Chen
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
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.
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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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