{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:49:41Z","timestamp":1791359381675,"version":"4.3.1"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Reconstruction of total laryngectomy defects with vascularized tissue helps minimize the risk of pharyngocutaneous fistula development. Few studies have assessed outcomes following reconstruction with a parascapular free flap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified 28 patients who underwent laryngectomy with parascapular free flap reconstruction between 2020 and 2024. Chart review was directed toward operative characteristics and postoperative outcomes, which were summarized using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen out of 28 patients (46%) underwent salvage laryngectomy. Average operative time was 6.6 (\u00b11.2) hours. Donor site morbidity was low; one patient experienced delayed wound dehiscence that was managed conservatively. Six patients developed pharyngocutaneous fistula; one patient required surgical intervention. The length of hospital stay ranged from 5 to 22\u2009days, and the duration of postoperative nil per os status ranged from 7 to 56\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our experience demonstrates that the parascapular free flap is a viable option for reconstruction of defects secondary to laryngectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70502","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:52:28Z","timestamp":1791355948000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reconstruction of Total Laryngectomy Defect Using Parascapular Free Flap: Case Series"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3534-7253","authenticated-orcid":false,"given":"Zaid","family":"Al\u2010Qurayshi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Iowa Health Care  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4795-7458","authenticated-orcid":false,"given":"Evgeniya","family":"Molotkova","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Iowa Health Care  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrik","family":"Pipkorn","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Washington University School of Medicine  Saint Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"issue":"6","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.3390\/cancers13061405","article-title":"Total Laryngectomy\u2010Still Cutting\u2010Edge?","volume":"13","author":"Hoffmann T. K.","year":"2021","journal-title":"Cancers"},{"issue":"1","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.coms.2018.09.001","article-title":"The Treatment of Laryngeal Cancer","volume":"31","author":"Obid R.","year":"2019","journal-title":"Oral and Maxillofacial Surgery Clinics of North America"},{"issue":"9","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"3681","DOI":"10.1007\/s12325-023-02561-7","article-title":"Pharyngeal Reconstruction Methods to Reduce the Risk of Pharyngocutaneous Fistula After Primary Total Laryngectomy: A Scoping Review","volume":"40","author":"Sanabria A.","year":"2023","journal-title":"Advances in Therapy"},{"issue":"4","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/j.otc.2023.04.005","article-title":"Pharyngeaoesophageal Reconstruction","volume":"56","author":"Lee Z. H.","year":"2023","journal-title":"Otolaryngologic Clinics of North America"},{"issue":"4","key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/micr.30406","article-title":"Reconstruction of Laryngopharyngectomy Defects: Comparison Between the Supraclavicular Artery Island Flap, the Radial Forearm Flap, and the Anterolateral Thigh Flap","volume":"39","author":"Reiter M.","year":"2019","journal-title":"Microsurgery"},{"issue":"9","key":"e_1_2_10_7_1","first-page":"e18181","article-title":"Total Laryngectomy: A Review of Surgical Techniques","volume":"13","author":"Chotipanich A.","year":"2021","journal-title":"Cureus"},{"issue":"5","key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1111\/coa.13777","article-title":"Scapular Free Flap Reconstruction of Pharyngoesophageal Defects","volume":"46","author":"Sridharan S. S.","year":"2021","journal-title":"Clinical Otolaryngology"},{"issue":"5","key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.jcms.2013.07.023","article-title":"The Free Scapular\/Parascapular Flap as a Reliable Method of Reconstruction in the Head and Neck Region: A Retrospective Analysis of 130 Reconstructions Performed Over a Period of 5\u2009Years in a Single Department","volume":"42","author":"Mitsimponas K. T.","year":"2014","journal-title":"Journal of Cranio\u2010Maxillo\u2010Facial Surgery"},{"issue":"3","key":"e_1_2_10_10_1","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1002\/micr.30977","article-title":"Complications of Pectoralis Major Myo\u2010Cutaneous Flap, Anterolateral Thigh Flap and Radial Forearm Free Flap After Total Laryngectomy With Partial Pharyngectomy: A Systematic Review and Network Meta\u2010Analysis","volume":"43","author":"Costantino A.","year":"2023","journal-title":"Microsurgery"},{"issue":"22","key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"2091","DOI":"10.1056\/NEJMoa031317","article-title":"Concurrent Chemotherapy and Radiotherapy for Organ Preservation in Advanced Laryngeal Cancer","volume":"349","author":"Forastiere A. A.","year":"2003","journal-title":"New England Journal of Medicine"},{"issue":"3","key":"e_1_2_10_12_1","first-page":"E875","article-title":"Free Flap Inset Techniques in Salvage Laryngopharyngectomy Repair: Impact on Fistula Formation and Function","volume":"131","author":"Chen D. W.","year":"2021","journal-title":"Laryngoscope"},{"issue":"1","key":"e_1_2_10_13_1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/s00405-020-06137-x","article-title":"Fascio\u2010Cutaneous\u2010Free Flaps as Primary Reconstruction in Salvage Total Laryngectomy","volume":"278","author":"Piazza C.","year":"2021","journal-title":"European Archives of Oto\u2010Rhino\u2010Laryngology"},{"issue":"2","key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"102392","DOI":"10.1016\/j.amjoto.2020.102392","article-title":"Predictive Factors for Prolonged Operative Time in Head and Neck Patients Undergoing Free Flap Reconstruction","volume":"41","author":"Lindeborg M. M.","year":"2020","journal-title":"American Journal of Otolaryngology"},{"issue":"6","key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1002\/lary.26454","article-title":"Predictors of Length of Stay, Reoperation, and Readmission Following Total Laryngectomy","volume":"127","author":"Helman S. N.","year":"2017","journal-title":"Laryngoscope"},{"issue":"4","key":"e_1_2_10_16_1","doi-asserted-by":"crossref","first-page":"247","DOI":"10.4103\/0971-5851.125236","article-title":"Factors Affecting Wound Complications in Head and Neck Surgery: A Prospective Study","volume":"34","author":"Chaukar D. A.","year":"2013","journal-title":"Indian Journal of Medical and Paediatric Oncology"},{"issue":"1","key":"e_1_2_10_17_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1054\/bjom.1999.0171","article-title":"Pull\u2010Through Technique of Scapular Osteocutaneous Flap to Decrease Frequency of Positioning Change","volume":"38","author":"Hasegawa K.","year":"2000","journal-title":"British Journal of Oral and Maxillofacial Surgery"},{"key":"e_1_2_10_18_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.oraloncology.2018.08.004","article-title":"The Spider Limb Positioner in Subscapular System Free Flaps","volume":"85","author":"Stevens J. R.","year":"2018","journal-title":"Oral Oncology"},{"issue":"10","key":"e_1_2_10_19_1","doi-asserted-by":"crossref","first-page":"e7202","DOI":"10.1097\/GOX.0000000000007202","article-title":"Free Parascapular Flap Versus Free Superficial Circumflex Iliac Artery Perforator Flaps in Upper Limb Reconstruction","volume":"13","author":"Ayad W. M.","year":"2025","journal-title":"Plastic and Reconstructive Surgery. Global Open"},{"issue":"2","key":"e_1_2_10_20_1","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1002\/lary.23785","article-title":"Voice Outcomes Following Reconstruction of Laryngopharyngectomy Defects Using the Radial Forearm Free Flap and the Anterolateral Thigh Free Flap","volume":"124","author":"Revenaugh P. C.","year":"2014","journal-title":"Laryngoscope"},{"issue":"1","key":"e_1_2_10_21_1","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1002\/lio2.441","article-title":"Prolonged Inpatient Stay After Upfront Total Laryngectomy Is Associated With Overall Survival","volume":"6","author":"Jacobs D.","year":"2021","journal-title":"Laryngoscope Investigative Otolaryngology"},{"issue":"9","key":"e_1_2_10_22_1","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1002\/hed.24837","article-title":"Functional Outcomes of Fasciocutaneous Free Flap and Pectoralis Major Flap for Salvage Total Laryngectomy","volume":"39","author":"Nguyen S.","year":"2017","journal-title":"Head & Neck"},{"issue":"4","key":"e_1_2_10_23_1","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1002\/hed.26616","article-title":"Early Versus Late Oral Feeding Following Total (Pharyngo)laryngectomy: Systematic Review and Meta\u2010Analysis","volume":"43","author":"Milinis K.","year":"2021","journal-title":"Head & Neck"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70502","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.70502","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:52:31Z","timestamp":1791355951000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.70502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,6]]},"references-count":22,"alternative-id":["10.1002\/hed.70502"],"URL":"https:\/\/doi.org\/10.1002\/hed.70502","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,6]]},"assertion":[{"value":"2026-05-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hed.70502"}}