Lasso Vázquez, José MaríaCastellano, MichelePinilla, CarmenGonzález Pozega, CarlotaPérez Cano, Rosa2026-02-052026-02-052018-11Lasso, Jose M. MD, PhD; Castellano, Michele MD; Pinilla, Carmen MD; González-Pozega, Carlota MD; Pérez-Cano, Rosa MD. Circumferential Pharyngoesophageal Reconstruction and Total Larynx Preservation with Extra-anatomical Free Flaps. Plastic and Reconstructive Surgery - Global Open 6(11):p e2008, November 2018. | DOI: 10.1097/GOX.00000000000020082169-757410.1097/GOX.0000000000002008https://hdl.handle.net/20.500.14352/131579Reconstruction of total circumferential pharyngeal defects following caustic or stenosant lesions of the pharynx present major challenges with respect to minimizing surgical morbidity and restoring functional deficits. With recent advances in microvascular free tissue transfer, the options for pharyngeal reconstruction have multiplied in order to maximize swallowing and voice. There is long experience in the reconstruction of the pharynx and the cervical esophagus in oncological patients after total pharyngolaryngectomy, but there are not many publications concerning circumferential pharyngeal reconstruction preserving the larynx. Here, we discuss 2 new techniques for total circumferential pharyngeal reconstruction respecting swallowing and voice by means of extra-anatomical bypasses (visceral or fasciocutaneous), upholding the larynx in its original placement.engAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/journal articlehttps://doi.org/10.1097/GOX.0000000000002008https://journals.lww.com/prsgo/fulltext/2018/11000/circumferential_pharyngoesophageal_reconstruction.28.aspxopen access617Cirugía32 Ciencias Médicas