{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:04:46Z","timestamp":1776823486235,"version":"3.51.2"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Total laryngectomy is an essential surgical intervention in the management of advanced laryngeal carcinoma. However, anatomical variations such as the bovine arch can complicate this procedure. The atypical branching pattern of the bovine arch may position major vessels closer to the tracheostomy site, increasing the risk of tracheo\u2010arterial fistulization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present the case of a 71\u2010year\u2010old woman with bovine arch anatomy who underwent total laryngectomy. Preoperative assessment revealed an aberrant right common carotid artery (RCCA) located close to the tracheostomy site. Intraoperatively, the \u201cstrap\u2010flap technique\u201d was employed, positioning the strap muscles between the RCCA and the trachea to minimize friction and reduce the risk of tracheo\u2010arterial fistula formation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The laryngectomy was performed successfully without any bleeding complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preoperative assessment of aortic arch anatomy is essential for guiding surgical planning. Surgical modifications, such as the use of strap muscles or pectoralis muscle flaps, are crucial in preventing postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.28023","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T10:29:09Z","timestamp":1732876149000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Modified Total Laryngectomy With Strap\u2010Flap Technique in a Patient With Bovine Aortic Arch Anomaly: A Case Report and Literature Review"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2778-9123","authenticated-orcid":false,"given":"Julie","family":"Nadjmi","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences University of Antwerp  Antwerp Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3982-7772","authenticated-orcid":false,"given":"Olivier","family":"Peetermans","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences University of Antwerp  Antwerp Belgium"},{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Antwerp University Hospital  Antwerp Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0041-2908","authenticated-orcid":false,"given":"Simon","family":"Nicolay","sequence":"additional","affiliation":[{"name":"Department of Radiology Antwerp University Hospital  Antwerp Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7394-4614","authenticated-orcid":false,"given":"Patrick","family":"Lauwers","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences University of Antwerp  Antwerp Belgium"},{"name":"Department of Thoracic and Vascular Surgery Antwerp University Hospital  Edegem Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5858-0528","authenticated-orcid":false,"given":"Gilles","family":"Van Haesendonck","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Antwerp University Hospital  Antwerp Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845\u2010022\u201003196\u20103"},{"issue":"7","key":"e_1_2_8_3_1","first-page":"1541","article-title":"Bovine Aortic Arch Variant in Humans: Clarification of a Common Misnomer","volume":"27","author":"Layton K. 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