en تخصصي Special گزارش مورد case report <span style="font-family:Times New Roman;"><span style="font-size:11pt"><span style="line-height:200%"><span lang="EN" style="font-size:12.0pt"><span style="line-height:200%">Hypopharyngeal carcinoma is one of the most aggressive primary head and neck cancers, often managed through partial or total laryngopharyngectomy. Reconstruction after such surgeries remains a challenging procedure that often requires the use of free flaps. A 63-year-old male patient with in-situ squamous cell carcinoma of the left vocal cord treated with total pharyngolaryngectomy and primary reconstruction with a left radial forearm free flap, complicated by flap necrosis, which ended up in dismantling and gastrostomy. He was referred to the </span></span><span style="font-size:12.0pt"><span style="line-height:200%">Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico in 2023 </span></span><span lang="EN" style="font-size:12.0pt"><span style="line-height:200%">to assess the reconstructive options for the hypopharynx and cervical esophagus defect. A tubular right radial forearm free flap was designed forming the anterior wall of the hypopharynx and cervical esophagus and a posterior wall for the external defect. Twelve months after his surgery, he continues tolerating oral intake without signs of stenosis or tumor recurrence. The objective in this case was based on restoring the continuity of the digestive tract and swallowing function, as well as providing skin coverage of the defects, and preventing serious complications. The radial forearm free flap has versatility in the tubular construction and a low leak rate, as well as an adequate skin island size. Conclusion: The pharyngoesophageal reconstruction with a tubed forearm free flap has favorable outcomes for restoring the gastrointestinal tract without further complications.</span></span><span style="font-size:12.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> &nbsp; Total laryngopharyngectomy, Pharyngoesophageal reconstruction, Radial forearm free flap 77 81 http://wjps.ir/browse.php?a_code=A-10-908-2&slc_lang=en&sid=1 Lugo Beltran Ignacio 100319475328460015781 100319475328460015781 No Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico Guitian González Marisol 100319475328460015782 100319475328460015782 No Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico Ornelas-Flores María Cristina 100319475328460015783 100319475328460015783 No Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico Uribe Briceño David Armando 100319475328460015784 100319475328460015784 No Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico Delcid Morazán Allan Fernando allanferdelcid@gmail.com 100319475328460015785 100319475328460015785 Yes Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico