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Fibula osteo-adipofascial flap for reconstruction of a cervical spine and posterior pharyngeal wall defect

Rodriguez-Lorenzo, Andres ; Mani, Maria Rydevik ; Thor, Andreas ; Gudjonsson, Olafur ; Marklund, Niklas LU orcid ; Olerud, Claes and Ekberg, Tomas (2014) In Microsurgery 34(4). p.8-314
Abstract

When reconstructing combined defects of the cervical spine and the posterior pharyngeal wall the goals are bone stability along with continuity of the aerodigestive tract. We present a case of a patient with a cervical spine defect, including C1 to C3, associated with a posterior pharyngeal wall defect after excision of a chordoma and postoperative radiotherapy. The situation was successfully solved with a free fibula osteo-adipofascial flap. The reconstruction with a fibula osteo-adipofascial flap provided several benefits in comparison with a fibula osteo-cutaneous flap in our case, including an easier insetting of the soft tissue component at the pharyngeal level and less bulkiness of the flap allowing our patient to resume normal... (More)

When reconstructing combined defects of the cervical spine and the posterior pharyngeal wall the goals are bone stability along with continuity of the aerodigestive tract. We present a case of a patient with a cervical spine defect, including C1 to C3, associated with a posterior pharyngeal wall defect after excision of a chordoma and postoperative radiotherapy. The situation was successfully solved with a free fibula osteo-adipofascial flap. The reconstruction with a fibula osteo-adipofascial flap provided several benefits in comparison with a fibula osteo-cutaneous flap in our case, including an easier insetting of the soft tissue component at the pharyngeal level and less bulkiness of the flap allowing our patient to resume normal deglutition.

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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Adipose Tissue, Adult, Cervical Vertebrae, Fascia, Female, Fibula, Free Tissue Flaps, Humans, Pharynx, Case Reports
in
Microsurgery
volume
34
issue
4
pages
8 - 314
publisher
Wiley
external identifiers
  • scopus:84898756376
  • pmid:24375861
ISSN
0738-1085
DOI
10.1002/micr.22217
language
English
LU publication?
no
id
a057ae09-55bc-4985-95a0-33cd6e6ecb81
date added to LUP
2018-03-04 12:05:15
date last changed
2024-06-10 08:48:11
@article{a057ae09-55bc-4985-95a0-33cd6e6ecb81,
  abstract     = {{<p>When reconstructing combined defects of the cervical spine and the posterior pharyngeal wall the goals are bone stability along with continuity of the aerodigestive tract. We present a case of a patient with a cervical spine defect, including C1 to C3, associated with a posterior pharyngeal wall defect after excision of a chordoma and postoperative radiotherapy. The situation was successfully solved with a free fibula osteo-adipofascial flap. The reconstruction with a fibula osteo-adipofascial flap provided several benefits in comparison with a fibula osteo-cutaneous flap in our case, including an easier insetting of the soft tissue component at the pharyngeal level and less bulkiness of the flap allowing our patient to resume normal deglutition.</p>}},
  author       = {{Rodriguez-Lorenzo, Andres and Mani, Maria Rydevik and Thor, Andreas and Gudjonsson, Olafur and Marklund, Niklas and Olerud, Claes and Ekberg, Tomas}},
  issn         = {{0738-1085}},
  keywords     = {{Adipose Tissue; Adult; Cervical Vertebrae; Fascia; Female; Fibula; Free Tissue Flaps; Humans; Pharynx; Case Reports}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{8--314}},
  publisher    = {{Wiley}},
  series       = {{Microsurgery}},
  title        = {{Fibula osteo-adipofascial flap for reconstruction of a cervical spine and posterior pharyngeal wall defect}},
  url          = {{http://dx.doi.org/10.1002/micr.22217}},
  doi          = {{10.1002/micr.22217}},
  volume       = {{34}},
  year         = {{2014}},
}