{"id":"https://openalex.org/W2168956864","doi":"https://doi.org/10.1001/archotol.124.10.1146","title":"Pharyngoesophageal Reconstruction With the Ulnar Forearm Flap","display_name":"Pharyngoesophageal Reconstruction With the Ulnar Forearm Flap","publication_year":1998,"publication_date":"1998-10-01","ids":{"openalex":"https://openalex.org/W2168956864","doi":"https://doi.org/10.1001/archotol.124.10.1146","mag":"2168956864","pmid":"https://pubmed.ncbi.nlm.nih.gov/9776194"},"language":"en","primary_location":{"id":"doi:10.1001/archotol.124.10.1146","doi":"https://doi.org/10.1001/archotol.124.10.1146","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archotol.124.10.1146","pdf_url":null,"source":{"id":"https://openalex.org/S101791497","display_name":"Archives of Otolaryngology - Head and Neck Surgery","issn_l":"0886-4470","issn":["0886-4470","1538-361X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Otolaryngology\u2013Head &amp; Neck Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5082454308","display_name":"Kasey K. Li","orcid":"https://orcid.org/0000-0001-7255-8343","observed_orcids":["https://orcid.org/0000-0001-7255-8343"]},"institutions":[{"id":"https://openalex.org/I204250578","display_name":"University of California, Irvine","ror":"https://ror.org/04gyf1771","country_code":"US","type":"education","lineage":["https://openalex.org/I204250578"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kasey K. Li","raw_affiliation_strings":["Department of Otolaryngology--Head and Neck Surgery, University of California, Irvine, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology--Head and Neck Surgery, University of California, Irvine, USA","institution_ids":["https://openalex.org/I204250578"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Authur H. Salibian","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Authur H. Salibian","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034230567","display_name":"Glenn R. Allison","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Glenn R. Allison","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047564087","display_name":"Mark E. Krugman","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mark E. Krugman","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"William Armstrong","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"William Armstrong","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023034578","display_name":"Brian J. F. Wong","orcid":"https://orcid.org/0000-0001-6318-7384","observed_orcids":["https://orcid.org/0000-0001-6318-7384"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Brian Wong","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"Timothy Kelly","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Timothy Kelly","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.4918,"has_fulltext":false,"cited_by_count":42,"citation_normalized_percentile":{"value":0.92527381,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"124","issue":"10","first_page":"1146","last_page":"1146"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11658","display_name":"Esophageal and GI Pathology","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pharyngoesophageal-reconstruction","display_name":"pharyngoesophageal reconstruction","score":0.996999979019165},{"id":"https://openalex.org/keywords/fasciocutaneous-flap","display_name":"fasciocutaneous flap","score":0.8820000290870667},{"id":"https://openalex.org/keywords/squamous-cell-carcinoma","display_name":"squamous cell carcinoma","score":0.8730000257492065},{"id":"https://openalex.org/keywords/circumferential-defects","display_name":"circumferential defects","score":0.8180000185966492},{"id":"https://openalex.org/keywords/anastomotic-leakage","display_name":"anastomotic leakage","score":0.7239999771118164},{"id":"https://openalex.org/keywords/fistula","display_name":"fistula","score":0.7480000257492065},{"id":"https://openalex.org/keywords/esophageal-stricture","display_name":"esophageal stricture","score":0.8240000009536743},{"id":"https://openalex.org/keywords/voice-rehabilitation","display_name":"voice rehabilitation","score":0.6579999923706055},{"id":"https://openalex.org/keywords/tracheoesophageal-puncture","display_name":"tracheoesophageal puncture","score":0.8510000109672546},{"id":"https://openalex.org/keywords/electrolarynx","display_name":"electrolarynx","score":0.859000027179718},{"id":"https://openalex.org/keywords/donor-site-morbidity","display_name":"donor site morbidity","score":0.8709999918937683}],"concepts":[{"id":"https://openalex.org/C2780214079","wikidata":"https://www.wikidata.org/wiki/Q228537","display_name":"Forearm","level":2,"score":0.6883683800697327},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.5060417056083679},{"id":"https://openalex.org/C2776586934","wikidata":"https://www.wikidata.org/wiki/Q599817","display_name":"Ulnar artery","level":4,"score":0.41973692178726196},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4002339243888855},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.285922110080719},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.0},{"id":"https://openalex.org/C2778218979","wikidata":"https://www.wikidata.org/wiki/Q662857","display_name":"Radial artery","level":3,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000714","descriptor_name":"Anastomosis, Surgical","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D004938","descriptor_name":"Esophageal Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D004944","descriptor_name":"Esophagoplasty","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005542","descriptor_name":"Forearm","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010610","descriptor_name":"Pharyngeal Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D010611","descriptor_name":"Pharyngectomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010614","descriptor_name":"Pharynx","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D013524","descriptor_name":"Surgical Flaps","qualifier_ui":"Q000098","qualifier_name":"blood supply","is_major_topic":true},{"descriptor_ui":"D013536","descriptor_name":"Suture Techniques","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014457","descriptor_name":"Ulna","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016629","descriptor_name":"Esophagectomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1001/archotol.124.10.1146","doi":"https://doi.org/10.1001/archotol.124.10.1146","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archotol.124.10.1146","pdf_url":null,"source":{"id":"https://openalex.org/S101791497","display_name":"Archives of Otolaryngology - Head and Neck Surgery","issn_l":"0886-4470","issn":["0886-4470","1538-361X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Otolaryngology\u2013Head &amp; Neck Surgery","raw_type":"journal-article"},{"id":"pmid:9776194","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9776194","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of otolaryngology--head & neck surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9907000064849854}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":36,"referenced_works":["https://openalex.org/W1968485067","https://openalex.org/W1973126784","https://openalex.org/W1975031508","https://openalex.org/W1994564073","https://openalex.org/W1994995382","https://openalex.org/W1995682078","https://openalex.org/W1995951626","https://openalex.org/W1996841239","https://openalex.org/W2028368181","https://openalex.org/W2030230500","https://openalex.org/W2032451416","https://openalex.org/W2036945156","https://openalex.org/W2037877198","https://openalex.org/W2047984768","https://openalex.org/W2050741282","https://openalex.org/W2052615332","https://openalex.org/W2064136285","https://openalex.org/W2067308189","https://openalex.org/W2071960779","https://openalex.org/W2079865023","https://openalex.org/W2086254065","https://openalex.org/W2089369813","https://openalex.org/W2098510638","https://openalex.org/W2104614208","https://openalex.org/W2130036056","https://openalex.org/W2134099772","https://openalex.org/W2183588135","https://openalex.org/W2329833402","https://openalex.org/W2405495109","https://openalex.org/W2410438181","https://openalex.org/W2412768769","https://openalex.org/W2466411843","https://openalex.org/W4232271162","https://openalex.org/W4294252229","https://openalex.org/W4299718034","https://openalex.org/W4319053549"],"related_works":["https://openalex.org/W2183588135","https://openalex.org/W1978695912","https://openalex.org/W2139775543","https://openalex.org/W2028660250","https://openalex.org/W2145730047","https://openalex.org/W1966574630","https://openalex.org/W7095412405","https://openalex.org/W2138827068","https://openalex.org/W4231329725","https://openalex.org/W2522160488"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"evaluate":[2],"the":[3,41,72,105,128,135,156,164,183],"use":[4],"of":[5,63,74,96,130,134,163,206],"a":[6,93,190,233],"generous":[7,87],"fasciocutaneous":[8,88],"ulnar":[9,33,89],"forearm":[10,34,90],"free":[11,35],"flap":[12,91,113,136,141],"in":[13,43,77,82,112,174,181,243],"pharyngoesophageal":[14,244],"reconstruction.":[15,245],"DESIGN:":[16],"Tertiary":[17],"referral":[18],"center.":[19],"SETTING:":[20],"Private":[21],"practice.":[22],"PATIENTS:":[23],"From":[24],"September":[25],"1,":[26],"1991,":[27],"to":[28,39,103,118,123,126,139,143,147],"October":[29],"30,":[30],"1996,":[31],"20":[32,165],"flaps":[36,158,166],"were":[37,53,68,137,159,168],"used":[38,138],"reconstruct":[40,104],"pharyngoesophagus":[42],"19":[44],"patients":[45,184],"after":[46],"surgery":[47],"for":[48],"squamous":[49],"cell":[50],"carcinoma.":[51],"There":[52,197],"13":[54],"circumferential":[55],"defects":[56,60],"and":[57,80,115,120,151,177,189],"7":[58],"near-circumferential":[59],"(<2":[61],"cm":[62,100],"mucosa":[64],"remaining).":[65],"The":[66,219],"reconstructions":[67],"performed":[69,111],"primarily":[70],"(at":[71],"time":[73],"tumor":[75],"resection)":[76],"16":[78],"cases":[79],"secondarily":[81],"4":[83],"cases.":[84],"INTERVENTION:":[85],"A":[86,107],"with":[92,209,232,238],"minimum":[94],"dimension":[95],"9":[97],"x":[98],"22":[99],"was":[101,110,172,179,198,223],"harvested":[102],"pharyngoesophagus.":[106],"2-layer":[108],"closure":[109],"tailoring":[114],"proximal":[116],"(pharynx":[117],"flap)":[119],"distal":[121],"(flap":[122],"esophagus)":[124],"anastomoses":[125],"minimize":[127],"risk":[129],"leakage.":[131],"Also,":[132],"portions":[133],"monitor":[140],"viability,":[142],"cover":[144],"cervical":[145],"vessels,":[146],"obliterate":[148],"dead":[149],"space,":[150],"as":[152],"skin":[153,157],"coverage":[154],"when":[155],"deficient.":[160],"RESULTS:":[161],"Nineteen":[162],"transferred":[167],"successful.":[169],"Swallow":[170],"function":[171],"restored":[173],"18":[175],"cases,":[176],"voice":[178,191],"rehabilitated":[180],"all":[182,205],"using":[185],"either":[186],"tracheoesophageal":[187],"puncture":[188],"device":[192],"or":[193],"an":[194],"electrolarynx":[195],"device.":[196],"1":[199],"perioperative":[200],"mortality.":[201],"Three":[202],"fistulas":[203],"occurred,":[204],"which":[207],"healed":[208],"nonsurgical":[210],"treatment.":[211],"One":[212],"stricture":[213],"developed":[214],"that":[215],"required":[216],"intermittent":[217],"dilatation.":[218],"donor":[220],"site":[221],"morbidity":[222],"minor.":[224],"CONCLUSIONS:":[225],"This":[226],"versatile":[227],"technique":[228],"achieves":[229],"excellent":[230],"results":[231],"decreased":[234],"complication":[235],"rate":[236],"compared":[237],"other":[239],"methods":[240],"currently":[241],"available":[242]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2021,"cited_by_count":3},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}