Reconstruction challenge--combined use of pectoralis major and gastric pull-up flaps for massive naso-oropharyngeal/oesophageal defects.

Autor: To EW; Division of Head and Neck Surgery, Department of Surgery,The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong. edwardtowh@yahoo.com, Tsang WM, Williams MD, Pang PC, Cheng JH, Chan AC
Jazyk: angličtina
Zdroj: Asian journal of surgery [Asian J Surg] 2002 Oct; Vol. 25 (4), pp. 337-40.
DOI: 10.1016/S1015-9584(09)60203-7
Abstrakt: Massive defects of the upper aerodigestive tract present a reconstructive challenge. We report a case in which a large defect of the naso-oropharyngeal and oesophagus was reconstructed with a combination of a gastric pull-up and a pectoralis major muscle flap. Postoperative function was good and survival was in excess of 16 months. The history of such reconstructions and possible alternative techniques are also discussed.
Databáze: MEDLINE