## Abstract Since the advent of the jejunal free flap in the early 1900s, it has become one of the most effective and widely used methods for reconstruction of circumferential defects of the esophagus, often due to malignant disease. However, as esophageal resections extend further cranially, recon
Reconstruction of the pharynx and esophagus
โ Scribed by Nahum, Alan M.
- Publisher
- Wiley (John Wiley & Sons)
- Year
- 1982
- Weight
- 76 KB
- Volume
- 4
- Category
- Article
- ISSN
- 0148-6403
No coin nor oath required. For personal study only.
๐ SIMILAR VOLUMES
## Abstract Construction of a new gullet after circumferential resection of the pharynx and upper portion of the esophagus for cancer is a major challenge to the head and neck surgeon. Techniques for reconstruction use cervical skin, adjacent pedicle flaps, and interposed visceral segments. Each te
A 70-year-old man was initially seen with recurrent laryngeal cancer after therapeutic irradiation and with a second primary tumor in the base of the tongue. He underwent bilateral neck dissections, resection of the base of the tongue, and total laryngectomy (Figure 1A andB). The defect measured 9 c
## Abstract Reconstruction of the pharynx and cervical esophagus presents a formidable problem for the head and neck surgeon. The use of a free jejunal graft offers a reliable and effective means of performing this reconstruction. Experience with 17 cases forms the basis of this report, which empha
Composite reconstruction of the esophagus using both the mobilized stomach and free jejunal graft is described. Tension at the anastomotic site can be minimized with interposition of a jejunal autograft between the pharyngeal stump and the mobilized stomach, even when the mobilized stomach is not lo