Reconstruction of the hypopharynx with the free jejunum transfer.

Abstract:

:Microsurgical techniques have revolutionized pharyngolaryngeal reconstruction. Free flap reconstruction with the free jejunal flap enables one stage reconstruction with minimal morbidity and mortality. This review will examine indications, operative technique, postoperative management, and expected outcomes for the hypopharyngeal reconstruction with the free jejunum flap. This procedure allows for maintenance of oral sections and rapid return of per-oral feeds and swallowing. The vast majority of patients resume swallowing and can maintain adequate nutrition without the need for supplemental enteral feeding via a tube. The free jejunal transfer can be rapidly harvested in most instances and transplanted to the hypopharyngeal region with a greater than 95% success rate. The jejunum fee flap is most useful for circumferential defects of the hypopharynx, but can also be used for partial defects. The most common local complications are stricture and fistula formation. A history of preoperative radiation therapy increases the risk of local complications.

journal_name

J Surg Oncol

authors

Disa JJ,Pusic AL,Mehrara BJ

doi

10.1002/jso.20483

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

466-70

issue

6

eissn

0022-4790

issn

1096-9098

journal_volume

94

pub_type

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