Reconstruction of the hypopharynx with the free jejunum transfer Journal Article

  


Authors: Disa, J. J.; Pusic, A. L.; Mehrara, B. J.
Article Title: Reconstruction of the hypopharynx with the free jejunum transfer
Abstract: Microsurgical techniques have revolutionized pharyngolaryngeal reconstruction. Free flap reconstruction with the free jejunal flap enables one stage reconstruction with minimal morbidity and mortality. This review will examine indications, operative technique, postoperative management, and expected outcomes for the hypopharyngeal reconstruction with the free jejunum flap. This procedure allows for maintenance of oral sections and rapid return of per-oral feeds and swallowing. The vast majority of patients resume swallowing and can maintain adequate nutrition without the need for supplemental enteral feeding via a tube. The free jejunal transfer can be rapidly harvested in most instances and transplanted to the hypopharyngeal region with a greater than 95% success rate. The jejunum fee flap is most useful for circumferential defects of the hypopharynx, but can also be used for partial defects. The most common local complications are stricture and fistula formation. A history of preoperative radiation therapy increases the risk of local complications. © 2006 Wiley-Liss, Inc.
Keywords: treatment outcome; surgical technique; reconstructive surgical procedures; review; plastic surgery; fistula; surgical flaps; postoperative care; microsurgery; postoperative complication; postoperative complications; tissue and organ harvesting; free tissue graft; tube feeding; jejunum; hypopharynx; swallowing; monitoring, physiologic; pharynx reconstruction; hypopharynx reconstruction; jejunal free flap; hypopharyngoplasty
Journal Title: Journal of Surgical Oncology
Volume: 94
Issue: 6
ISSN: 0022-4790
Publisher: Wiley Blackwell  
Date Published: 2006-11-01
Start Page: 466
End Page: 470
Language: English
DOI: 10.1002/jso.20483
PUBMED: 17061270
PROVIDER: scopus
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-33750735107&partnerID=40&md5=955bd26968abbb1778bc0068de22a705
Notes: --- - "Cited By (since 1996): 25" - "Export Date: 4 June 2012" - "CODEN: JSONA" - "Source: Scopus"
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MSK Authors
  1. Joseph Disa
    262 Disa
  2. Andrea Pusic
    300 Pusic
  3. Babak Mehrara
    448 Mehrara
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