Results
The operation was feasible in all patients, with dual flap reconstruction using a deltopectoral flap, combined with a pectoralis major flap (n=5) or a supraclavicular flap (n=3). All patients developed a small, lateralised, self-healing fistula at the site of the deltopectoral flap 3-point junction. This did not require any intervention, or impact on adjuvant treatment. Functional outcomes were favourable, with all patients achieving oral diet. One patient required gastrostomy diet supplementation, and one patient required stricture dilatation. Of the patients able to receive a speech valve (n=4), all achieved intelligible speech. Two patients could not receive a speech valve due to the inferior extent of the tumour resection, and trachea-oesophageal puncture has been delayed in 2 patients due to the COVID-19 pandemic.