Yeungnam Univ J Med.  1992 Jun;9(1):167-174. 10.12701/yujm.1992.9.1.167.

Pharyngoesophageal reconstruction

• Cha GH
• Kim JC
• Lee KH
• Suh DB
• Suh JS

• KMID: 2377615
• DOI: http://doi.org/10.12701/yujm.1992.9.1.167

Abstract

Microvascular tissue transfers have facilitated primary closure of various complex defects after radical ablation of head and neck cancers. From Oct 1991 to Feb 1992, we used forearm free flap in two patients and delto-pectoral flap in one patient who had preoperative irradiation for pharyngoesophageal reconstruction. The stricture and fistula formation were most troublesome complication in forearm free flap, so we designed as lazy S shape in distal flap margin to prevent circular contraction and longitudinal margin was deepithelialized (5 mm) and sutured double layer to withstand fistular formation and this can be considered useful in place of a free jejuna transfer.

Keyword

Pharyngoesophageal reconstruction

MeSH Terms

Constriction, Pathologic
Fistula
Forearm
Free Tissue Flaps
Head
Humans
Neck