PT  - JOURNAL ARTICLE
AU  - Gupta, Devendra Kumar
AU  - Chugh, Rajeev
AU  - Singh, Sanajeet Kumar
AU  - Pati, Seema
TI  - Use of the facial artery-based cutaneous island flap (melo-labial flap) for reconstruction of the neopharynx following total laryngectomy: a novel technique
AID  - 10.1136/bcr-2019-230712
DP  - 2019 Aug 01
TA  - BMJ Case Reports
PG  - e230712
VI  - 12
IP  - 8
4099  - http://casereports.bmj.com/content/12/8/e230712.short
4100  - http://casereports.bmj.com/content/12/8/e230712.full
SO  - BMJ Case Reports2019 Aug 01; 12
AB  - Reconstruction of neopharynx after total laryngectomy is a challenging task. Various locoregional flaps like pectoralis major myocutaneos/ latismus dorsi flaps and free flaps have their own limitations and advantages. To overcome this, we used facial artery-based cutaneous island flap (melo-labial flap) for reconstruction of the neopharynx following total laryngectomy (DK Gupta technique). This flap is thin, pliable, without any gravitational pull and without any risk of anastomosis failure and hence has advantage of both locoregional and free flaps and eliminates the limitations of both. It is simple, reproducible and reliable reconstructive option for neopharynx. We present a case report, review of literature and this novel technique for an excellent outcome and recommend to use it as the new workhorse of neopharyngeal reconstruction.