ALT vs. Jejunum: Have We Found the Ideal Flap for Circumferential Pharyngoesophageal Reconstruction? A Meta-analysis of Comparative Studies

Free flap reconstruction has become the preferred procedure for circumferential pharyngoesophageal defect. Among the free flaps used, free anterolateral thigh (ALT) flap and free jejunal flap are the two most popularly used flaps. The choice of flap usually depends on the surgeon's training and experience. There are limited studies that directly compared the clinical and functional outcomes with these two flaps. We conduct a systematic review and meta-analysis to compare the postoperative complications and the functional outcomes after reconstruction of circumferential pharyngoesophageal defects using free ALT flap versus free jejunal flap.

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