[Autoplastic closure of a persistent postoperative laryngeal fistula in a patient who had undergone previous irradiation (author's transl)].

Ann Otolaryngol Chir Cervicofac, 1977/7-1977/8;94(7-8):453-6.

Masson C, Fontvieille J, Boachon G

PMID: 343691

Abstract
The authors present a case of closure of a postoperative laryngeal fistula in an irradiated area, obtained after the failure of several local plastic procedures. They used a distant pediculated flap, taken from non-irradiated tissue and from an unusual site: an acromio-occipital flap, using the acromial part with secondary repositioning of the nutrient pedicle. They emphasise the excellent vitality of this flap, its healing effect in the area of radio-dermatitis despite poor general condition, and the necessity for bypass of the upper airway during the time of healing.
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