A Novel Technique for Repair of Postoperative Pharyngocutaneous Fistula: A Case Report

Pharyngocutaneous fistula (PCF) is the most feared complication postlaryngectomy with a reported incidence varying from 3% to 65%. Some of the factors such as prior radiotherapy, poor nutritional status, and preoperative tracheostomy significantly increase the risk of developing a PCF. The development of a PCF leads to prolongation of hospital stay, increases financial burden, and delays the commencement of any further adjuvant therapy. Although literature mentions the management of PCFs with multiple local and free flaps, none is considered as the standard therapy. We are reporting the use of two flaps, pectoralis major myofascial flap and deltopectoral flap, for the successful repair of a case of PCF at our center.