Question: A 76 year old male undergoes total laryngectomy and pectoralis major myocutaneous flap reconstruction for an advanced laryngeal cancer. Postoperatively he develops a salivary fistula. Multiple attempts at packing the wound are unsuccessful. Which of the following is the least likely to contribute to poor wound healing?
a) Untreated hypothyroidism
b) Type 2 diabetes with Hb A1c of 6.9%
c) Hypoalbuminemia
d) Smoking
[Answer will be posted with next week's new question]
Answer to last week's question, “Puffy Feeling” (Aug 1, 2022)
B - Reconstruct the labyrinthotomy