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. 2017 May 25;5(5):e1344.
doi: 10.1097/GOX.0000000000001344. eCollection 2017 May.

A Simple Technical Modification for the Creation of an External Monitoring Skin Paddle for Tubed ALT Flap Reconstruction after Circumferential Hypopharyngeal Resection

Shao-Yun Hsu  1 , Omar Hausien  1 , Ting-Yi Liao  1 , Hsu-Tang Cheng  1
Affiliations

A Simple Technical Modification for the Creation of an External Monitoring Skin Paddle for Tubed ALT Flap Reconstruction after Circumferential Hypopharyngeal Resection

Shao-Yun Hsu et al. Plast Reconstr Surg Glob Open. .

Abstract

Supplemental Digital Content is available in the text.

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Figures

Fig. 1.
Fig. 1.
The skin paddle of the ALT flap for tubularization was extended distally into a fusiform shape with the distal part prepared for externalization. The distal skin paddle was cut through the dermis with the subcutaneous tissue and fascia attached to the main flap. The distal skin paddle remained well perfused while waiting for the tumor ablation surgery.
Fig. 2.
Fig. 2.
Three weeks after the reconstruction, the healing of this distal paddle to the native neck skin was good despite previous neck irradiation.
See this image and copyright information in PMC

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