How comparatively effective are the total laryngopharyngectomy jejunal (TLP-Jej) flap and TLP radial forearm flap (TLP-RFF) in TLP for tracheoesophageal (TE) voice restoration after reconstruction?
Background: The reconstruction of the TLP defect is a significant challenge in head and neck surgery, and voice restoration is a reconstructive priority. Numerous studies have shown the qualitative success and functional utility of the TE prosthesis voice restoration techniques. Despite an absence of studies specifically comparing TLP-RFF and TLP-Jej, there is an impression that voice after TLP-Jej is inferior to voice after TLP-RFF.
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December 2015Study design: Retrospective cohort study of 40 patients after total laryngectomy (18 primary closure [STL], 10 TLP-Jej, and 12 TLP-RFF).
Setting: Department of Otolaryngology–Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston; the Otolaryngology–Head and Neck Surgery Service, Brooke Army Medical Center, San Antonio, Texas; Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio.
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