Evidence map›Paper›PMID 39193236›Full record

ArticleWorld journal of plastic surgery2024

Pharyngoesophageal Reconstruction with A Tubed Radial Forearm Free Flap: A Case Report.

Lugo Beltran Ignacio, Guitian González Marisol, Ornelas-Flores María Cristina, Uribe Briceño David Armando, Delcid Morazán Allan Fernando

Abstract readCase Reports
In one paragraph

Article in World journal of plastic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lugo Beltran IgnacioPlastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico.
Guitian González MarisolPlastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico.
Ornelas-Flores María CristinaPlastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico.
Uribe Briceño David ArmandoPlastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico.
Delcid Morazán Allan FernandoPlastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypopharyngeal carcinoma is one of the most aggressive primary head and neck cancers, often managed through partial or total laryngopharyngectomy. Reconstruction after such surgeries remains a challenging procedure that often requires the use of free flaps. A 63-year-old male patient with in-situ squamous cell carcinoma of the left vocal cord treated with total pharyngolaryngectomy and primary reconstruction with a left radial forearm free flap, complicated by flap necrosis, which ended up in dismantling and gastrostomy. He was referred to the Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico in 2023 to assess the reconstructive options for the hypopharynx and cervical esophagus defect. A tubular right radial forearm free flap was designed forming the anterior wall of the hypopharynx and cervical esophagus and a posterior wall for the external defect. Twelve months after his surgery, he continues tolerating oral intake without signs of stenosis or tumor recurrence. The objective in this case was based on restoring the continuity of the digestive tract and swallowing function, as well as providing skin coverage of the defects, and preventing serious complications. The radial forearm free flap has versatility in the tubular construction and a low leak rate, as well as an adequate skin island size. Conclusion: The pharyngoesophageal reconstruction with a tubed forearm free flap has favorable outcomes for restoring the gastrointestinal tract without further complications.

Indexed as

Pharyngoesophageal reconstructionRadial forearm free flapTotal laryngopharyngectomy

Identifiers

PMID39193236
PMCPMC11346689

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