scholarly journals Free jejunal flap transfer containing multiple vascular pedicles for pharyngoesophageal reconstruction in conjunction with anterior mediastinal tracheostomy

Microsurgery ◽  
2018 ◽  
Vol 38 (8) ◽  
pp. 852-859
Author(s):  
Tateki Kubo ◽  
Tomoyuki Kurita ◽  
Hiroki Tashima ◽  
Shien Seike ◽  
Takashi Fujii ◽  
...  
Keyword(s):  
Flap Transfer ◽  
Pharyngoesophageal Reconstruction ◽  
Free Jejunal Flap ◽  
Mediastinal Tracheostomy

Free jejunal flap transfer with multiple vascular pedicles for safe and reliable pharyngoesophageal reconstruction

Head & Neck ◽  
2018 ◽  
Vol 40 (10) ◽  
pp. 2210-2218 ◽  
Author(s):  
Tomoyuki Kurita ◽  
Tateki Kubo ◽  
Hiroki Tashima ◽  
Takashi Fujii
Keyword(s):  
Flap Transfer ◽  
Pharyngoesophageal Reconstruction ◽  
Free Jejunal Flap

scholarly journals Survival of a Free Jejunal Flap with Early Venous Obstruction

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110224
Author(s):  
Ryo Yamochi ◽  
Toshiaki Numajiri ◽  
Syoko Tsujiko ◽  
Hiroko Nakamura ◽  
Daiki Morita ◽  
...  
Keyword(s):  
Head And Neck ◽  
Oral Intake ◽  
Superior Thyroid Artery ◽  
Head And Neck Reconstruction ◽  
Venous Obstruction ◽  
Flap Survival ◽  
Flap Transfer ◽  
Neck Reconstruction ◽  
Free Jejunal Flap ◽  
Vascular Status

Free jejunal flap transfer is common in head and neck reconstruction, but necrosis remains a complication. A 77-year-old man underwent total pharyngo-laryngo-esophagectomy, bilateral neck dissection, and free jejunal flap transfer. We anastomosed 3 arteries (facial, transverse cervical, and superior thyroid) and 1 vein (jejunal) because the recipient site’s arterial status was poor. On day 2, ultrasonography and visualization revealed that the anastomosed vein was obstructed in the cranial jejunum but the remainder was viable. The region recovered by day 7 and the patient began oral intake on day 30. Ultrasonography revealed that the anastomosed jejunal vein showed no waveform, the facial and transverse cervical arteries showed arterial waveforms, and the superior thyroid artery showed a retrograde venous waveform. The flap had survived because the blood exited through the superior thyroid artery and vein. Thus, additional vascular and arterial anastomoses are options for free flap survival if the vascular status is poor.

scholarly journals Salvage Treatment of Failed Free Jejunal Flap Transfer

2018 ◽  
Vol 6 (8) ◽  
pp. e1889 ◽  
Author(s):  
Tateki Kubo ◽  
Shien Seike ◽  
Koichiro Kiya ◽  
Koichi Tomita ◽  
Ko Hosokawa
Keyword(s):  
Salvage Treatment ◽  
Flap Transfer ◽  
Free Jejunal Flap
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