Atypical reconstruction with free jejunum flap after circumferential pharyngolaryngectomy

Marco Benazzo, Giulia Bertino, Patrizia Gatti, Mario Alessiani, Antonio Occhini, Roberto Spasiano

Research output: Contribution to journalArticlepeer-review


The ideal reconstruction after circumferential pharyngolaryngectomy is represented by the jejunum free flap, but when the resection extends to the oro- or nasopharynx, the discrepancy between the lumen of the flap and the pharyngeal defect represents a disadvantage. Two reconstructions to overcome this problem are presented: end-to-side anastomosis between the pharynx and the antimesenteric side of the jejunum; and a jejunal "reservoir." The type 1 technique is quicker to perform, but can result in dysphagia; the type 2 technique is more complex, but usually no dysphagia is observed. In our opinion, no ideal surgical technique exists to equal the jejunum loop. The choice must be tailored to the single patient, bearing in mind the degree of the defect, the stage of the tumor removed, the general conditions of the patient, and personal surgical experience. Whatever procedure is chosen, it should provide the best possible quality of life for the expected life span of the patient.

Original languageEnglish
Pages (from-to)17-20
Number of pages4
Issue number1
Publication statusPublished - 2007

ASJC Scopus subject areas

  • Surgery


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