Jejunum free flap in hypopharynx reconstruction: Case series
| Autor: | Giuseppe Aresi, Mario Alessiani, V. Rossi, Marco Benazzo, Antonio Occhini |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Cancer Research medicine.medical_treatment Free flap lcsh:RC254-282 Prosthesis Speech Disorders Surgical Flaps Postoperative Complications Swallowing Hypopharyngeal Neoplasm Genetics Medicine Humans Treatment Failure Aged Venous Thrombosis Hypopharyngeal Neoplasms business.industry Hypopharyngeal cancer Neck dissection Middle Aged Plastic Surgery Procedures lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease Surgery Venous thrombosis Hypopharynx Jejunum Treatment Outcome Oncology Head and Neck Neoplasms Lymph Node Excision Neck Dissection Female business Research Article Follow-Up Studies |
| Zdroj: | BMC Cancer BMC Cancer, Vol 2, Iss 1, p 13 (2002) |
| ISSN: | 1471-2407 |
| Popis: | Background Surgical treatment of hypopharyngeal cancers with extension to the retrocricoid region generally requires a circumferential pharyngolaryngectomy followed by a reconstruction of the removed segment of the upper digestive tract. Historically, many techniques have been used in order to achieve a safe and functional reconstruction. Jejunum interposition is generally considered the best reconstructive technique. Methods This study examines the details of the surgical technique, the complications, the oncological and the functional results in a series of 29 consecutive patients submitted to circumferential pharyngoesophageal resection for advanced hypopharyngeal cancer followed by reconstruction with a free flap of jejunum. Results Three of the transplants failed because of venous thrombosis. The overall success rate was 90%. There were no general complications. A good swallowing has been preserved in all our patients. All our patients where a phonatory prosthesis was positioned (20/29) were able to achieve speech following speech therapy and all were satisfied with their own capacity to communicate. Conclusions The prognosis of hypopharyngeal tumours (18–40% at 5 years) remains poor, but jejunum autografts are being shown to be an excellent choice for the reconstruction of the cervical hypopharyngo-oesophagus offering the patient fast rehabilitation and a reasonable quality of survival. Our experience confirm that this kind of reconstruction is safe with a good results in improving oncologic controls and restoring a good quality of life. |
| Databáze: | OpenAIRE |
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