Figure 1
From: Closure of post-laryngectomy pharyngocutaneous fistulae
Staged vessel protection, before pharyngocutaneous fistula closure using folded radial forearm free flap. (A) Great vessels (arrow) bathed in saliva from adjacent pharyngocutaneous fistula, (B) with pectoralis pedicled flap the neck vessels are covered, (C) a negative pressure dressing facilitates wound care and controls the fistula in the immediate suprastomal area until (D) the wound is well granulated and (E) a folded radial forearm free flap is used to close the suprastomal fistula several weeks later.