caa a22 4500 386347891 CHVBK 20180307111817.0 cr unu---uuuuu 161130e198903 xx s 000 0 eng 10.1017/S002221510010876X doi S002221510010876X pii (NATIONALLICENCE)cambridge-10.1017/S002221510010876X Rubin J. S. Department of Otorhinolarynolaryngology, Montefiore Medical Center, van Cortlandt Annex, Room 710, 111 East 210th Street, Bronx, New York 10467 Repair of post-laryngectomy pharyngeal fistulae [Elektronische Daten] [J. S. Rubin] Post-laryngectomy pharyngeal fistulization is an unpleasant occurrence. Presented herein is the author's approach to this problem, along with two cases in which closure was effected by sternocleidomastoid (SCM) myoplasty. SCM myocutaneous flaps have previously been considered for pharyngocutaneous fistulae and then disregarded due to the doubtful nature of the blood supply to the skin. The SCM myoplasty obviates this problem as it relies on muscle rather than skin. SCM myoplasty has been used as a bolster in pharyngeal reconstruction after the pharynx has been closed by pharyngeal mucosal advancement or rotation. The author has extended this idea utilizing the raw muscle of the SCM to directly reconstruct the defect in fistulae deemed too large for primary closure. Anatomical, oncological and technical considerations are discussed, as well as the author's protocol for post-laryngectomy pharyngocutaneous fistulae. Copyright © JLO (1984) Limited 1989 The Journal of Laryngology & Otology Cambridge University Press 103/3(1989-03), 302-305 0022-2151 103:3<302 1989 103 JLO https://doi.org/10.1017/S002221510010876X text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S002221510010876X text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Rubin J. S. Department of Otorhinolarynolaryngology, Montefiore Medical Center, van Cortlandt Annex, Room 710, 111 East 210th Street, Bronx, New York 10467 NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 103/3(1989-03), 302-305 0022-2151 103:3<302 1989 103 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge