✦ LIBER ✦

Entire pharyngoesophageal reconstruction with latissimus dorsi myocutaneous Island flap

✍ Scribed by Yamamoto, Katsura ;Yokota, Koji ;Higaki, Kiyotake

Publisher: Wiley (John Wiley & Sons)
Year: 1985
Weight: 356 KB
Volume: 7
Category: Article
ISSN: 0148-6403
DOI: 10.1002/hed.2890070605

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✦ Synopsis

Abstract

The entire pharynx and cervical esophagus were reconstructed after total laryngectomy and pharyngoesophagectomy for advanced cancer in 14 patients with the use of a pedicled latissimus dorsi myocutaneous island flap. All flaps were transferred successfully in one stage. The reliability of the flap and postoperative state of food passage were studied. Repair was confirmed by roentgenographic examination 6 months after surgery. A slight narrowness was noted at the portion anastomosed with the esophagus, with dilatation of the reconstructed segment. All patients in our study have been able to resume normal oral feeding. The pedicled latissimus dorsi myocutaneous island flap is reliable and useful for the reconstruction of the pharynx and cervical esophagus.

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