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The article titled “The Impact of Pharyngeal Closure Technique on Fistula After Salvage Laryngectomy” by Patel et al1 is a retrospective review of 350 patients from 8 institutions, who underwent salvage laryngectomy after radiotherapy and/or chemoradiotherapy. The authors stratified patients into 3 groups according to pharyngotomy closure technique. The closure types included (1) primary closure, (2) closure using a fasciocutaneous free flap, and (3) closure using a pectoralis myofascial onlay flap.
Genden EM. Use of Vascularized Muscle Flaps in the Healing of Compromised Wounds. JAMA Otolaryngol Head Neck Surg. 2013;139(11):1162. doi:10.1001/jamaoto.2013.2765