Pharyngectomy involves removal of part or all of the pharyngeal wall to excise tumors of the oropharynx and hypopharynx. This may range from a partial pharyngectomy—preserving contralateral structures—to a total pharyngectomy. Reconstruction is essential to restore swallowing continuity and speech. Commonly used flaps include the radial forearm free flap (RFFF) and anterolateral thigh (ALT) flap, which provide reliable soft‐tissue volume and vascular supply.
Dr. Singhavi customizes the extent of pharyngeal resection based on tumor size, location, and depth determined by PET-CT and endoscopic ultrasound. He collaborates with a reconstructive microsurgery team to select the optimal donor site: RFFF for thin, pliable lining ideal for smaller defects; ALT flap for larger volumes and bulk needed in extensive resections. Virtual surgical planning creates templates for flap design and inset. Intraoperatively, he balances oncologic margins with preservation of adjacent structures, then performs microvascular anastomoses under high‐power magnification. Postoperative protocols include graded swallow therapy, prophylactic feeding tube management, and tailored speech rehabilitation.
Dr. Singhavi’s integrated approach achieves complete tumor removal alongside immediate restoration of pharyngeal continuity. Microsurgical reconstruction minimizes fistula rates and accelerates return to oral intake, often within two weeks. The tailored flap choice ensures optimal contour, reduces donor‐site morbidity, and supports subsequent voice rehabilitation with prosthetic devices if needed. Patients benefit from improved nutrition, clearer speech, and reduced psychological distress. This one‐stage resection and reconstruction strategy shortens overall treatment time, lowers complication rates, and enhances long-term quality of life.
