scholarly journals Atypical reconstructions with free jejunum flap after circumferential pharyngolaryngectomy

Microsurgery ◽  
2007 ◽  
Vol 27 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Marco Benazzo ◽  
Giulia Bertino ◽  
Patrizia Gatti ◽  
Mario Alessiani ◽  
Antonio Occhini ◽  
...  
Keyword(s):  
Circumferential Pharyngolaryngectomy ◽  
Free Jejunum Flap

Reconstruction of the hypopharynx after free jejunum flap failure: Is a second free jejunum transfer feasible?

Oral Oncology ◽  
2008 ◽  
Vol 44 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Giulia Bertino ◽  
Marco Benazzo ◽  
Antonio Occhini ◽  
Patrizia Gatti ◽  
Roberto Spasiano ◽  
...  
Keyword(s):  
Flap Failure ◽  
Free Jejunum Flap

Voice restoration after circumferential pharyngolaryngectomy with free jejunum repair

2001 ◽  
Vol 258 (4) ◽  
pp. 173-176 ◽  
Author(s):  
M. Benazzo ◽  
G. Bertino ◽  
L. Lanza ◽  
A. Occhini ◽  
E. Mira
Keyword(s):  
Voice Restoration ◽  
Circumferential Pharyngolaryngectomy

scholarly journals Functional effects of a free jejunum flap used for reconstruction in the oropharyngeal region

1993 ◽  
Vol 21 (4) ◽  
pp. 153-156 ◽  
Author(s):  
Yukihiro Michiwaki ◽  
Rainer Schmelzeisen ◽  
Tamas Hacki ◽  
Ken-ichi Michi
Keyword(s):  
Free Jejunum Flap

A “watch window” technique for monitoring buried free jejunum flaps during circumferential pharyngolaryngectomy reconstruction

2011 ◽  
Vol 269 (7) ◽  
pp. 1845-1849 ◽  
Author(s):  
Quan Li ◽  
Xin-Rui Zhang ◽  
Xue-Kui Liu ◽  
Zhi-Gang Zhang ◽  
Wei-Wei Liu ◽  
...  
Keyword(s):  
Window Technique ◽  
Circumferential Pharyngolaryngectomy

scholarly journals Versatility of the free jejunum flap in vaginal reconstruction

2016 ◽  
Vol 4 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Giovanni Bistoni ◽  
Reza Alamouti ◽  
Sonia Martinez Alcaide ◽  
Luis Javier Matute Tobias ◽  
Francisco Javier Blanco Gonzalez ◽  
...  
Keyword(s):  
Vaginal Reconstruction ◽  
Free Jejunum Flap

Reconstruction with Free Jejunal Autograft after Circumferential Pharyngolaryngectomy: Eighty-Three Cases

1998 ◽  
Vol 107 (7) ◽  
pp. 581-587 ◽  
Author(s):  
Michel A. Germain ◽  
Jean-Louis Bourgain ◽  
Morbize Julieron ◽  
Guy Schwaab ◽  
Pierre Wibault ◽  
...  
Keyword(s):  
Postoperative Radiotherapy ◽  
Postoperative Outcome ◽  
Functional Results ◽  
Common Procedure ◽  
Soft Diet ◽  
Swallowing Rehabilitation ◽  
One Stage Reconstruction ◽  
Circumferential Pharyngolaryngectomy

The free jejunal autograft (FJA) has become a common procedure for pharyngeal reconstruction after circumferential pharyngolaryngectomy. In order to evaluate the postoperative outcome and the functional and carcinologic results, we retrospectively reviewed 83 cases of reconstruction with FJA. Fifty-one patients had received no prior radiotherapy, and 25 had received prior radiotherapy for their hypopharyngeal tumor or for another previous primary. Seven patients underwent a secondary reconstruction. In the postoperative course, there were 2 postoperative deaths, 4 graft failures (5%), and 11 salivary fistulas. The median time to removal of the nasogastric tube was 16 days, and to discharge, 23 days. Forty-eight patients received postoperative radiotherapy, with good tolerance. At 1 year postoperatively, 98% of the patients were able to eat a solid or soft diet. The postoperative radiotherapy did not impair the quality of the functional results in a long-term assessment. The vocal results were disappointing. The 3-year survival rate was 40%. The main carcinologic failures (45 patients) were locoregional recurrences (20 patients) and metastasis, which was the cause of death in 34% of the cases. It seems clear that FJA allows one-stage reconstruction and good swallowing rehabilitation, tolerates postoperative radiotherapy, and increases the quality of life in these patients with a poor prognosis.

Reconstruction of circumferential pharyngolaryngectomy using a ‘horseshoe-shaped’ pectoralis major myocutaneous flap

2006 ◽  
Vol 121 (5) ◽  
pp. 483-488 ◽  
Author(s):  
F Jegoux ◽  
C Ferron ◽  
O Malard ◽  
F Espitalier ◽  
C Beauvillain de montreuil
Keyword(s):  
Local Recurrence Rate ◽  
Reliable Method ◽  
Myocutaneous Flap ◽  
Complete Resection ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Wide Range ◽  
Operative Complications ◽  
Circumferential Pharyngolaryngectomy

Eighteen patients underwent a circumferential pharyngolaryngectomy reconstruction post pharyngolaryngectomy. All tumours showed pharyngo-oesophageal junction invasion or circular involvement of the hypopharynx, requiring total, circumferential pharyngolaryngectomy. A pectoralis major myocutaneous flap was directly sutured to the pre-vertebral fascia. A Montgomery® salivary bypass tube was introduced into the oesophagus, and a nasogastric tube was placed within it. No post-operative complications occurred for 14 patients and only minor ones for the other four. Average post-operative stay was 12 days. For 15 patients, feeding returned to normal throughout the follow-up period. No fistulae were noted and neopharyngeal stenosis occurred in three patients (16 per cent). Thirteen had complete resection with normal margins. Thirteen were still alive after one to three years of follow up. The local recurrence rate was 16 per cent.The use of a pectoralis major myocutaneous flap with Spriano's technique provides a simple, reliable method for circumferential hypopharyngeal resection. It has been applied to a wide range of patients, especially elderly ones and those with poor general status, as well as to cases in which widespread involvement was detected during surgery.

scholarly journals Articulatory function in glossectomized patients with immediate reconstruction using a free jejunum flap

1992 ◽  
Vol 20 (5) ◽  
pp. 203-210 ◽  
Author(s):  
Yukihiro Michiwaki ◽  
Rainer Schmelzeisen ◽  
Tamas Hacki ◽  
Ken-ichi Michi
Keyword(s):  
Immediate Reconstruction ◽  
Free Jejunum Flap
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