Bhavin Visavadia

Use of double skin paddle for pharyngoesophageal reconstruction using tubed radial forearm free flap

r c econstruction of pharyngeal defects are complex and ely upon advanced microsurgical skill to ensure success. hese can also be compromised by the effect radioherapy necessitating delayed reconstructive surgery to orrect soft tissue stricturing of the pharynx many years ater. We describe how adaptations in flap design can help adeuately reconstruct the pharynx and prevent tension in the adiation treated neck. Following laryngectomy strictures may develop in the harynx or oesophagus and impede bolus passage and voice roduction. This can be related to tight surgical closures, adiation therapy and post-operative infections. Post laryngectomy patients use small valves to create air esonance and tracheoesophageal speech. Tightness here can ffect the patients voice quality and hence directly impact pon their quality of life. Patient A had a total laryngectomy and neck dissection in 006 following which they had radiotherapy and remained isease free. The patient was fitted with a Blom-Singer voice rosthesis for voice reproduction. Over the proceeding 6

Cook-Swartz Implantable Doppler: The UK experience - a retrospective analysis

domain than did Crouzon’s patients (p=0.017). Females with Apert’s syndrome had a statistically poorer QoL in the social domain than Apert’s affected men (p=0.037). Conclusions: Following a literature search, we think this is the first such study in the UK and the largest in the world to date. Overall, these patients represent a resilient group who may have responded well to previous psychological support. Management strategies should be targeted towards the social domain, particularly in female patients with Apert’s syndrome.