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.