Stomal recurrence: salvage surgery and reconstruction utilizing microvascular free tissue transfer Journal Article

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Authors: Pittman, A; Lindau, R.; Andersen, P.; Wax, M. K.
Article Title: Stomal recurrence: salvage surgery and reconstruction utilizing microvascular free tissue transfer
Abstract: BACKGROUND: Stomal recurrence in patients after laryngectomy has a poor prognosis. Studies performed using sternal resection with pectoralis flap reconstruction report 25% 2-year survival. The purpose of this study was to ascertain whether the use of larger resection with free flap reconstruction improves survival. METHODS: Thirteen cases of stomal recurrence that underwent extended sternal resection and free flap reconstruction were identified and classified according to Sisson criteria. Postoperative morbidity, mortality, and survival were assessed. RESULTS: Median survival was 10 months in patients with Sisson types I and II, with 37.5% 1-year and 25% 2-year survival. Median survival was 6 months in patients with Sisson types III and IV, with 40% 1-year and 0% 2-year survival. There were 2 perioperative deaths and a major morbidity rate of 45%. CONCLUSION: Salvage surgery using free flap reconstruction did not show improved survival rates compared with previously described techniques.
Journal Title: Head neck
Volume: 36
Issue: 10
ISSN: 1097-0347; 1043-3074
Publisher: Wiley Periodicals, Inc  
Journal Place: United States
Date Published: 2014
Start Page: 1431
End Page: 1434
Language: eng
DOI/URL:

10.1002/hed.23468
Notes: CI: (c) 2013; JID: 8902541; OTO: NOTNLM; 2013/03/05 [received]; 2013/06/03 [revised]; 2013/08/14 [accepted]; 2013/12/18 [aheadofprint]; ppublish