When the Gastrointestinal Conduit for Total Esophageal Reconstruction Is Not an Option: Review of the Role of Skin Flaps and Report of Salvage With a Single-Stage Tubed Anterolateral Thigh Flap. Ann Plast Surg 2016 Apr;76(4):463-7
Date
12/24/2014Pubmed ID
25536203DOI
10.1097/SAP.0000000000000389Scopus ID
2-s2.0-84920053464 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
This review adds to the limited body of literature describing the use of skin flaps for reconstruction of the esophagus and includes a report of a successful 1-stage, intrathoracic reconstruction of the cervical and thoracic esophagus after failed gastrointestinal conduit. Already widely used for reconstruction of the pharynx and cervical esophagus, the versatile anterolateral thigh flap can be considered an option for more extensive defects of the cervical and thoracic esophagus in this challenging patient population when gastric, jejunal, or colon conduits are not available. The authors believe the anterolateral thigh flap should be considered in 1-stage anatomic reconstruction of the cervical and thoracic esophagus in the absence of feasible gastrointestinal conduits.
Author List
LoGiudice JA, Wyler von Ballmoos MC, Gasparri MG, Lao WWAuthors
Mario G. Gasparri MD Professor in the Surgery department at Medical College of WisconsinJohn A. LoGiudice MD Professor in the Plastic Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Anastomosis, SurgicalColon
Esophagectomy
Esophagus
Free Tissue Flaps
Humans
Male
Middle Aged
Salvage Therapy
Skin Transplantation
Stomach
Thigh