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Yeungnam Univ J Med > Volume 9(1); 1992 > Article
Yeungnam University Journal of Medicine 1992;9(1):167-174.
DOI: https://doi.org/10.12701/yujm.1992.9.1.167    Published online June 30, 1992.
Pharyngoesophageal reconstruction.
Gyu Ho Cha, Jeong Cheol Kim, Kyung Ho Lee, Dong Bo Suh, Jang Su Suh
Abstract
Microvascular tissue transfers have facilitated primary closure of various complex defects after radical ablation of head and neck cancers. From Oct 1991 to Feb 1992, we used forearm free flap in two patients and delto-pectoral flap in one patient who had preoperative irradiation for pharyngoesophageal reconstruction. The stricture and fistula formation were most troublesome complication in forearm free flap, so we designed as lazy S shape in distal flap margin to prevent circular contraction and longitudinal margin was deepithelialized (5 mm) and sutured double layer to withstand fistular formation and this can be considered useful in place of a free jejuna transfer.
Key Words: Pharyngoesophageal reconstruction


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