The images show an ALT flap and a peroneal flap being used to reconstruct circumferential pharyngoesophageal defects. (A) The adequate volume of ALT flap filled up the space left by total laryngectomy and easily made contact with surrounding tissue. It ensured the healing well. (B) In contrast, peroneal flap could not fill up the space. It increased the risk of poor healing

The images show an ALT flap and a peroneal flap being used to reconstruct circumferential pharyngoesophageal defects. (A) The adequate volume of ALT flap filled up the space left by total laryngectomy and easily made contact with surrounding tissue. It ensured the healing well. (B) In contrast, peroneal flap could not fill up the space. It increased the risk of poor healing

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Background We usually use an ALT or peroneal flap in total laryngectomy reconstruction, depending on the surgeons' preference. No direct comparison of the outcomes of the ALT flap and peroneal flap exists. Methods From 2014 to 2022, we reviewed patients who had total laryngectomy and were reconstructed with an ALT flap and peroneal flap. Patient c...