Free jejunum transfer for hypopharyngeal reconstruction : technical aspects and outcome
Author
Source
Journal of the Egyptian National Cancer Institute
Issue
Vol. 13, Issue 3 (30 Sep. 2001), pp.203-207, 5 p.
Publisher
Cairo University National Cancer Institute
Publication Date
2001-09-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background : The free jejunal flap is rapidly evolving as a preferred method for restoration of upper digestive tract continuity following total laryngopharyngectomy.
Our experience with the technique is reported.
Material and methods : Twenty-two patients with hy-popharyngeal cancer were included in the study period October 1996-December 2000.
There were 20 males and two females with average age of 45 years.
Total laryngopha-ryngectomy with neck dissection was carried out for all patients.
Transfer of a jejunal segment to neck with micro-vascular technique was used for reconstruction.
All patients received postoperative radiation therapy.
Results : average operation time was 5 hours with estimated blood loss of 800 cc.
Ischemia time ranged between 40-130 minutes.
Two cases (9 %) died in the immediate postoperative period (reactionary hemorrhage and systemic sepsis following flap loss).
Five patients developed complications (27 %) ; flap loss in two patients and salivary fistula in three patients that closed on conservative treatment.
Overall success rate was 88% (18 / 22).
For successful cases, swallowing was resumed on post-operative day 7.
All patients tolerated radiation therapy well.
Conclusion : Free jejunal flap is a dependable one stage procedure that will restore gastrointestinal continuity.
The mucosal lined flap represents an excellent anatomic and physiologic replacement for the hypopharynx.
American Psychological Association (APA)
Mamun, Sharif Ismail. 2001. Free jejunum transfer for hypopharyngeal reconstruction : technical aspects and outcome. Journal of the Egyptian National Cancer Institute،Vol. 13, no. 3, pp.203-207.
https://search.emarefa.net/detail/BIM-69310
Modern Language Association (MLA)
Mamun, Sharif Ismail. Free jejunum transfer for hypopharyngeal reconstruction : technical aspects and outcome. Journal of the Egyptian National Cancer Institute Vol. 13, no. 3 (Sep. 2001), pp.203-207.
https://search.emarefa.net/detail/BIM-69310
American Medical Association (AMA)
Mamun, Sharif Ismail. Free jejunum transfer for hypopharyngeal reconstruction : technical aspects and outcome. Journal of the Egyptian National Cancer Institute. 2001. Vol. 13, no. 3, pp.203-207.
https://search.emarefa.net/detail/BIM-69310
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 207
Record ID
BIM-69310