{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:08:31Z","timestamp":1761419311151,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,7,12]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>Reconstruction of neopharynx after total laryngectomy is a challenging task. Various locoregional flaps like pectoralis major myocutaneos\/ latismus dorsi flaps and free flaps have their own limitations and advantages. To overcome this, we used facial artery-based cutaneous island flap (melo-labial flap) for reconstruction of the neopharynx following total laryngectomy (DK Gupta technique). This flap is thin, pliable, without any gravitational pull and without any risk of anastomosis failure and hence has advantage of both locoregional and free flaps and eliminates the limitations of both. It is simple, reproducible and reliable reconstructive option for neopharynx. We present a case report, review of literature and this novel technique for an excellent outcome and recommend to use it as the new workhorse of neopharyngeal reconstruction.<\/jats:p>","DOI":"10.1136\/bcr-2019-230712","type":"journal-article","created":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T06:14:12Z","timestamp":1564985652000},"page":"e230712","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Use of the facial artery-based cutaneous island flap (melo-labial flap) for reconstruction of the neopharynx following total laryngectomy: a novel technique"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0004-6394","authenticated-orcid":false,"given":"Devendra Kumar","family":"Gupta","sequence":"first","affiliation":[{"name":"ENT-HNS, Army Hospital Research and Referral, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajeev","family":"Chugh","sequence":"additional","affiliation":[{"name":"ENT-HNS, Army Hospital Research and Referral, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanajeet Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"ENT-HNS, Army Hospital Research and Referral, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Pati","sequence":"additional","affiliation":[{"name":"ENT-HNS, Army Hospital Research and Referral, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,4]]},"reference":[{"key":"2025082703360880000_12.8.e230712.1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199604000-00018"},{"key":"2025082703360880000_12.8.e230712.2","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.ejso.2016.05.017","article-title":"Systematic review and meta-analysis of the complications of salvage total laryngectomy","volume":"43","author":"Hasan","year":"2017","journal-title":"Eur J Surg Oncol"},{"key":"2025082703360880000_12.8.e230712.3","doi-asserted-by":"publisher","DOI":"10.1007\/s004050100324"},{"key":"2025082703360880000_12.8.e230712.4","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200103000-00030"},{"key":"2025082703360880000_12.8.e230712.5","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1288\/00005537-198811000-00014","article-title":"Pectoralis major myocutaneous flap reconstruction of the laryngopharynx and cervical oesophagus","volume":"98","author":"Fabian","year":"1998","journal-title":"Laryngoscope"},{"key":"2025082703360880000_12.8.e230712.6","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1177\/000348949810700707","article-title":"Reconstruction with free jejunal autograft after circumferential pharyngolaryngectomy: eighty-three cases","volume":"107","author":"Julieron","year":"1998","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"2025082703360880000_12.8.e230712.7","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1017\/S0022215100136400","article-title":"Results of reconstruction with free forearm flap following laryngopharyngo-oesophageal resection","volume":"111","author":"Akin","year":"1997","journal-title":"J Laryngol Otol"},{"key":"2025082703360880000_12.8.e230712.8","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1186\/1471-2407-2-13","article-title":"Jejunum free flap in hypopharynx reconstruction: case series","volume":"2","author":"Benazzo","year":"2002","journal-title":"BMC Cancer"},{"key":"2025082703360880000_12.8.e230712.9","unstructured":"Hayden RE . Lateral cutaneous thigh flap. Microvascularreconstruction of the head and neck. New York: Churchill Livingstone, 1989:211\u201328."},{"key":"2025082703360880000_12.8.e230712.10","doi-asserted-by":"publisher","DOI":"10.1080\/00016489850183548"},{"key":"2025082703360880000_12.8.e230712.11","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1054\/bjps.2000.3459","article-title":"The short head of the biceps femoris as a monitor for the free lateral thigh flap in pharyngoesophageal reconstruction","volume":"54","author":"Kim","year":"2001","journal-title":"Br J Plast Surg"},{"key":"2025082703360880000_12.8.e230712.12","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1002\/hed.2880170202","article-title":"Free jejunal interposition reconstruction after pharyngolaryngectomy: 201 consecutive cases","volume":"17","author":"Theile","year":"1995","journal-title":"Head Neck"},{"key":"2025082703360880000_12.8.e230712.13","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199902000-00014"},{"key":"2025082703360880000_12.8.e230712.14","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199907000-00007"},{"key":"2025082703360880000_12.8.e230712.15","doi-asserted-by":"publisher","DOI":"10.1159\/000027749"},{"key":"2025082703360880000_12.8.e230712.16","doi-asserted-by":"crossref","first-page":"735","DOI":"10.3109\/0284186X.2011.640348","article-title":"Submandibular gland-sparing intensity modulated radiotherapy in the treatment of head and neck cancer: sites of locoregional relapse and survival","volume":"51","author":"Collan","year":"2012","journal-title":"Acta Oncol"},{"key":"2025082703360880000_12.8.e230712.17","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1514493"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:36:14Z","timestamp":1756290974000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":17,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2019,8,4]]},"published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1136\/bcr-2019-230712"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230712","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,8]]}}}