Fig. 5.

Local recurrence after radiochemotherapy of a hypopharyngeal postcricoid SCC was salvaged by total laryngectomy and subtotal pharyngectomy (B). The pharyngeal tube was restored suturing the superficial fascia of a PMMF flap (A, C) to the residual posterior hypopharyngeal mucosa (D, E, F, G). The portion of the hypopharyngeal circumference restored with the procedure was more than 50% (D) and the patient, after the recovery of a normal swallowing without complications, showed progressive dysphagia after 4 months. A recurrent hypopharyngeal stricture was diagnosed, and after two endoscopic dilatations a gastrostomy tube was placed endoscopically (PEG).