Use of Vascularized Muscle Flaps in the Healing of Compromised Wounds

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.