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Ectopic Hair Growth After Flap Reconstruction of the Head and Neck
Kenneth Toft, MD;
Gregory S. Keller, MD;
Keith E. Blackwell, MD
Arch Facial Plast Surg. 2000;2:148-150.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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CLINICAL CHALLENGE
A 53-year-old Peruvian man underwent total laryngopharyngectomy with tubed radial forearm free flap reconstruction for chondronecrosis of the larynx and pharynx that developed as a complication of radiation therapy. A tracheoesophageal fistula was created for speech rehabilitation. Two years later, he returned with complaints related to frequent trapping of small food particles in his hypopharyngeal segment, causing frequent food regurgitation, halitosis, and mild but bothersome intermittent dysphagia. He also complained of the frequent dysfunction of his tracheoesophageal voice prosthesis, which was caused by clogging of the valve mechanism by hair. Topical nystatin therapy provided no relief. Endoscopic examination of the reconstructed hypopharyngeal segment revealed prominent hair growth without evidence of stricture formation (Figure 1).
Figure appears in full text version.
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Figure 1. Endoscopic view of a radial forearm flap hypopharyngeal reconstruction showing prominent hair growth. A tracheoesophageal speech prosthesis is seen near the . . . [Full Text of this Article]
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AUTHORS' SOLUTION
COMMENT
From the Division of Head and Neck Surgery, Department of Surgery, University of California, Los Angeles, School of Medicine.
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