Mr Jason Fleming
- Senior Clinical Lecturer, University of Liverpool
, Honorary Consultant ENT, Head & Neck Surgery,
Liverpool Hospitals NHS FT, Aintree University Hospital
ENT Grand Rounds Online,
8th September 2020
Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
1. Head and Neck – Head and neck malignancies in the upper aerodigestive tract excluding the oral cavity; Oral pathology
01:00 - Objectives and overview
04:00 - Goals for ablative surgery
05:47 - Goals of reconstruction
07:43 - Reconstructive principles
13:14 - Pectoralis major flap
15:35 - Supraclavicular island flap
17:03 - Recipient vessel selection and suture technique
20:40 - Variety of perforator flaps
21:22 - Radial forearm flap
23:15 - ALT
25:05 - Other soft tissue and bony flaps
26:17 - Laryngectomy reconstruction
29:41 - Management of primary laryngeal defect
32:04 - Pharyngeal closure technique and fistula
32:56 - Salvage laryngectomy with sufficient mucosa
37:13 - Functional outcomes of flaps for salvage total laryngectomy
40:31 - Reconstruction technique and swallowing outcomes in laryngectomy
42:26 - Comparison of fasciocutaenous and jejunal free flaps in pharyngolaryngectomy
44:17 - Summary
46:00 - Q&A
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