Use of double flaps in pharyngo-laryngo-esophageal reconstructions: a retrospective review.

ABSTRACT:

Purpose

This article aims to review techniques and applications for using double flaps (both free and pedicled, and their combinations) in reconstructing defects from total pharyngolaryngectomies (TPL) or pharyngolaryngo-esophagectomies.

Methods

This systematic review followed PRISMA 2020 guidelines. Three authors screened articles, selecting and extracting data on malignancy characteristics, reconstructive techniques, outcomes and complications.

Results

Eleven articles were reviewed, involving 176 oncologic patients. Most patients (39.8%) had defects in the larynx, hypopharynx and cervical skin, while in 31.8% the double flaps were used to restore the pharynx and protect the visceral anastomosis. In most studies included, preoperative treatments were administered, in

SUBMITTER: Sacchetto A 

PROVIDER: S-EPMC12605531 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature