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Laryngectomy is the removal of the larynx. In a total laryngectomy, the entire larynx is removed (including the vocal folds , hyoid bone , epiglottis , thyroid and cricoid cartilage and a few tracheal cartilage rings) with the separation of the airway from the mouth , nose and esophagus . [ 1 ]
Microvascular free tissue transfer : the anatomy and application of free flaps in contemporary head and neck reconstruction (1st ed.). Alexandria, VA: American Academy of Otolaryngology–Head and Neck Surgery Foundation. ISBN 1-56772-098-6. Genden, Eric M. (2012). Reconstruction of the head and neck : a defect-oriented approach. New York: Thieme.
Free flaps are usually only done if a TRAM flap is not possible. Plastic surgeons usually perform these surgeries. Patients with Bell's palsy can have their face re-animated using "free functioning muscle flaps". Hand reconstruction: Reconstruction of paralyzed face or hand using functioning free muscle flaps. Head and Neck reconstruction:
Free flap: Mandible reconstruction Shutter design flap: Cutaneous: Advancement: Forehead excisions Superficial inferior epigastric artery (SIEA) flap: Cutaneous: Free flap: Free flap breast reconstruction: Superior gluteal artery perforator (SGAP) flap: Cutaneous: Free flap: Free flap breast reconstruction: Transverse rectus abdominis ...
Free-flap breast reconstruction is a type of autologous-tissue breast reconstruction applied after mastectomy for breast cancer, without the emplacement of a breast implant prosthesis. As a type of plastic surgery, the free-flap procedure for breast reconstruction employs tissues, harvested from another part of the woman's body, to create a ...
Laryngectomy; Laryngotracheal reconstruction; T. Thyrotomy; V. Voice prosthesis This page was last edited on 4 August 2011, at 14:27 (UTC). Text is available ...
The reported flap failure rate in free flaps is less than 5%. [19] The most commonly cause is by venous insufficiency consisting of 54% of all causes. [ 19 ] Venous insufficiency is commonly caused by a venous thrombus within the first 2 days following surgery.
It is a form of Open Laryngoplasty and effectively reaches its goals via a Partial Laryngectomy of the anterior portion of the larynx, thereby diminishing the size of the larynx to cisgender female proportions. It also changes the vocal weight or resonance quality of the voice by diminishing the size of the larynx.