Hypopharynx reconstruction by a revascularized jejunum flap

L. Grimani, G. S. Fossati, M. Benazzo, A. Occhini, L. Lanza, G. Caracciolo, F. Visconti, A. Zonta

Research output: Contribution to journalArticle

Abstract

The poor prognosis of the hypopharyngeal cancer compels the surgeon to choose a technique which allows wide surgical resection associated with a reconstruction procedure resulting in a prompt restoration of physiological functions, low morbidity and a short time hospitalization. Total circular pharangolaryngectomy has certainly had some impact on the prognosis. Over the years a variety of methods have been used for reconstructing the upper digestive tract, e.g. visceral transfer, myocutaneous pedicled flaps and revascularized fascio-cutaneous or visceral (colon or jejunum) flaps. The revascularized free flap of jejunum is a flap with anatomo-physiological features suitable for the reconstruction of the hypopharyngo-oesophageal tract. The advantages of this method are: a single surgical session, fast recovery of physiological alimentation, possibility of large defects reconstruction, possibility of being performed even in patients previously treated with radiotherapy, good capacity to resist possible complementary radiotherapy. The Authors present 11 patients (10 males and 1 female, aged from 47 to 65 years, mean 54,7 years) affected by advanced (T3 - T4) hypopharyngeal cancer with initial extension to the cervical oesophagus who were referred to us in 1996 and reconstructed by jejunum loop. There were no deaths in the perioperative period and 9/11 (84.6%) of the flaps survived. In general the life quality of the patients is good; they do not have problems with dysphagia. Although the prognosis of hypopharyngeal cancer remains poor, jejunum autograft has shown to be an excellent choice for the reconstruction of the cervical hypopharyngo-oesophagus.

Original languageEnglish
Pages (from-to)139-142
Number of pages4
JournalMedecine Biologie Environment
Volume25
Issue number2
Publication statusPublished - 1997

Fingerprint

Hypopharynx
Flaps
Hypopharyngeal Neoplasms
Radiotherapy
Jejunum
Reconstruction (structural)
Autografts
Esophagus
Restoration
Recovery
Defects
Surgical Flaps
Myocutaneous Flap
Perioperative Period
Free Tissue Flaps
Deglutition Disorders
Gastrointestinal Tract
Colon
Hospitalization
Quality of Life

Keywords

  • Hypopharynx cancer
  • Jejunum flap

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Grimani, L., Fossati, G. S., Benazzo, M., Occhini, A., Lanza, L., Caracciolo, G., ... Zonta, A. (1997). Hypopharynx reconstruction by a revascularized jejunum flap. Medecine Biologie Environment, 25(2), 139-142.

Hypopharynx reconstruction by a revascularized jejunum flap. / Grimani, L.; Fossati, G. S.; Benazzo, M.; Occhini, A.; Lanza, L.; Caracciolo, G.; Visconti, F.; Zonta, A.

In: Medecine Biologie Environment, Vol. 25, No. 2, 1997, p. 139-142.

Research output: Contribution to journalArticle

Grimani, L, Fossati, GS, Benazzo, M, Occhini, A, Lanza, L, Caracciolo, G, Visconti, F & Zonta, A 1997, 'Hypopharynx reconstruction by a revascularized jejunum flap', Medecine Biologie Environment, vol. 25, no. 2, pp. 139-142.
Grimani L, Fossati GS, Benazzo M, Occhini A, Lanza L, Caracciolo G et al. Hypopharynx reconstruction by a revascularized jejunum flap. Medecine Biologie Environment. 1997;25(2):139-142.
Grimani, L. ; Fossati, G. S. ; Benazzo, M. ; Occhini, A. ; Lanza, L. ; Caracciolo, G. ; Visconti, F. ; Zonta, A. / Hypopharynx reconstruction by a revascularized jejunum flap. In: Medecine Biologie Environment. 1997 ; Vol. 25, No. 2. pp. 139-142.
@article{2b9e114f49a44fc1b2dd47d812dafd9c,
title = "Hypopharynx reconstruction by a revascularized jejunum flap",
abstract = "The poor prognosis of the hypopharyngeal cancer compels the surgeon to choose a technique which allows wide surgical resection associated with a reconstruction procedure resulting in a prompt restoration of physiological functions, low morbidity and a short time hospitalization. Total circular pharangolaryngectomy has certainly had some impact on the prognosis. Over the years a variety of methods have been used for reconstructing the upper digestive tract, e.g. visceral transfer, myocutaneous pedicled flaps and revascularized fascio-cutaneous or visceral (colon or jejunum) flaps. The revascularized free flap of jejunum is a flap with anatomo-physiological features suitable for the reconstruction of the hypopharyngo-oesophageal tract. The advantages of this method are: a single surgical session, fast recovery of physiological alimentation, possibility of large defects reconstruction, possibility of being performed even in patients previously treated with radiotherapy, good capacity to resist possible complementary radiotherapy. The Authors present 11 patients (10 males and 1 female, aged from 47 to 65 years, mean 54,7 years) affected by advanced (T3 - T4) hypopharyngeal cancer with initial extension to the cervical oesophagus who were referred to us in 1996 and reconstructed by jejunum loop. There were no deaths in the perioperative period and 9/11 (84.6{\%}) of the flaps survived. In general the life quality of the patients is good; they do not have problems with dysphagia. Although the prognosis of hypopharyngeal cancer remains poor, jejunum autograft has shown to be an excellent choice for the reconstruction of the cervical hypopharyngo-oesophagus.",
keywords = "Hypopharynx cancer, Jejunum flap",
author = "L. Grimani and Fossati, {G. S.} and M. Benazzo and A. Occhini and L. Lanza and G. Caracciolo and F. Visconti and A. Zonta",
year = "1997",
language = "English",
volume = "25",
pages = "139--142",
journal = "Medecine Biologie Environment",
issn = "0302-0800",
publisher = "Medicine Biologie Environment INEC",
number = "2",

}

TY - JOUR

T1 - Hypopharynx reconstruction by a revascularized jejunum flap

AU - Grimani, L.

AU - Fossati, G. S.

AU - Benazzo, M.

AU - Occhini, A.

AU - Lanza, L.

AU - Caracciolo, G.

AU - Visconti, F.

AU - Zonta, A.

PY - 1997

Y1 - 1997

N2 - The poor prognosis of the hypopharyngeal cancer compels the surgeon to choose a technique which allows wide surgical resection associated with a reconstruction procedure resulting in a prompt restoration of physiological functions, low morbidity and a short time hospitalization. Total circular pharangolaryngectomy has certainly had some impact on the prognosis. Over the years a variety of methods have been used for reconstructing the upper digestive tract, e.g. visceral transfer, myocutaneous pedicled flaps and revascularized fascio-cutaneous or visceral (colon or jejunum) flaps. The revascularized free flap of jejunum is a flap with anatomo-physiological features suitable for the reconstruction of the hypopharyngo-oesophageal tract. The advantages of this method are: a single surgical session, fast recovery of physiological alimentation, possibility of large defects reconstruction, possibility of being performed even in patients previously treated with radiotherapy, good capacity to resist possible complementary radiotherapy. The Authors present 11 patients (10 males and 1 female, aged from 47 to 65 years, mean 54,7 years) affected by advanced (T3 - T4) hypopharyngeal cancer with initial extension to the cervical oesophagus who were referred to us in 1996 and reconstructed by jejunum loop. There were no deaths in the perioperative period and 9/11 (84.6%) of the flaps survived. In general the life quality of the patients is good; they do not have problems with dysphagia. Although the prognosis of hypopharyngeal cancer remains poor, jejunum autograft has shown to be an excellent choice for the reconstruction of the cervical hypopharyngo-oesophagus.

AB - The poor prognosis of the hypopharyngeal cancer compels the surgeon to choose a technique which allows wide surgical resection associated with a reconstruction procedure resulting in a prompt restoration of physiological functions, low morbidity and a short time hospitalization. Total circular pharangolaryngectomy has certainly had some impact on the prognosis. Over the years a variety of methods have been used for reconstructing the upper digestive tract, e.g. visceral transfer, myocutaneous pedicled flaps and revascularized fascio-cutaneous or visceral (colon or jejunum) flaps. The revascularized free flap of jejunum is a flap with anatomo-physiological features suitable for the reconstruction of the hypopharyngo-oesophageal tract. The advantages of this method are: a single surgical session, fast recovery of physiological alimentation, possibility of large defects reconstruction, possibility of being performed even in patients previously treated with radiotherapy, good capacity to resist possible complementary radiotherapy. The Authors present 11 patients (10 males and 1 female, aged from 47 to 65 years, mean 54,7 years) affected by advanced (T3 - T4) hypopharyngeal cancer with initial extension to the cervical oesophagus who were referred to us in 1996 and reconstructed by jejunum loop. There were no deaths in the perioperative period and 9/11 (84.6%) of the flaps survived. In general the life quality of the patients is good; they do not have problems with dysphagia. Although the prognosis of hypopharyngeal cancer remains poor, jejunum autograft has shown to be an excellent choice for the reconstruction of the cervical hypopharyngo-oesophagus.

KW - Hypopharynx cancer

KW - Jejunum flap

UR - http://www.scopus.com/inward/record.url?scp=0031412581&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031412581&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0031412581

VL - 25

SP - 139

EP - 142

JO - Medecine Biologie Environment

JF - Medecine Biologie Environment

SN - 0302-0800

IS - 2

ER -