{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T07:10:05Z","timestamp":1778224205624,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T00:00:00Z","timestamp":1442880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>The reconstruction of hypopharyngeal defects should focus on minimizing morbidity in a high\u2010risk population while achieving adequate functional results with regard to the restoration of speech, swallowing, and airway control. We introduce the clinical application of the thoracoacromial artery perforator (TAAP) flap as a new reconstructive option for hypopharyngeal defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This method was used to restore oncologic hypopharyngeal defects in nine patients: three who had previous irradiation and surgery, one who had previous surgery only, and another who had previous radiotherapy only.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All of the TAAP flaps of our series were transferred successfully and survived entirely. The donor sites were closed primarily in all cases. No fistulas, stenosis\/strictures, dehiscence, or swelling occurred. Pectoralis major muscle function was completely preserved in all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of TAAP flap to reconstruct hypopharyngeal defect is a simple and effective method that does not require microsurgical skills. The flap is thin and pliable, with a reliable blood supply.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 126:1315\u20131320, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25675","type":"journal-article","created":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T21:29:16Z","timestamp":1442957356000},"page":"1315-1320","source":"Crossref","is-referenced-by-count":18,"title":["A new option with the pedicle thoracoacromial artery perforator flap for hypopharyngeal reconstructions"],"prefix":"10.1002","volume":"126","author":[{"given":"Yi Xin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital Shanghai Jiao Tong University School of Medicine Shanghai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zan","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery, Hunan Provincial Tumor Hospital Xiangya Medical School of Central South University Changsha Hunan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Grassetti","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School University Hospital of Ancona Ancona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davide","family":"Lazzeri","sequence":"additional","affiliation":[{"name":"Plastic Reconstructive and Aesthetic Surgery Unit Villa Salaria Clinic Rome"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Nicoli","sequence":"additional","affiliation":[{"name":"Plastic Reconstructive and Aesthetic Surgery Unit Villa Salaria Clinic Rome"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael R.","family":"Zenn","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Duke University Medical Center Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao","family":"Zhou","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery, Hunan Provincial Tumor Hospital Xiangya Medical School of Central South University Changsha Hunan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Spinelli","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit Hospital of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peirong","family":"Yu","sequence":"additional","affiliation":[{"name":"MD Anderson Cancer Center Houston Texas 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