Keypoints
- Circumferential pharyngeal defects represent a complex reconstructive
problem
- Dual flap reconstruction using a deltopectoral flap and a second flap
(a pectoralis major or a supraclavicular flap) offers a potential
solution
- All patients developed a small, lateralised, self-healing fistula that
required no intervention, and did not significantly impact on patient
recovery
- Swallowing outcomes were favourable with all patients achieving oral
diet, and only one patient requiring gastrostomy supplementation
- All patients who received a speech valve attained intelligible speech
Keywords: Pedicled flap; Pharyngectomy; Laryngectomy;
Case series