Jejunum free flap in hypopharynx reconstruction

M. Benazzo, M. Alessiani, A. Occhini, L. Rizzi, E. Zanoletti, L. Casati, G. Aresi

Research output: Contribution to journalArticle

Abstract

Surgical treatment of hypopharyngeal cancers 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 in ideal conditions (1). Methods: This study examines the details of the surgical technique, the complications, and the oncological and functional results in a series of 34 consecutive patients submitted to circumferential pharyngoesophageal resection for advanced hypopharyngeal cancer followed by reconstruction with a free flap of jejunum. Results and discussion: Three of the transplants failed because of venous thrombosis. The overall success rate was 91.2%. There were no general complications and good swallowing function has been preserved in all patients. Moreover, all the patients where a phonatory prosthesis was positioned (12/34) were able to achieve speech following speech rehabilitation and all were satisfied with their own capacity to communicate. The percentage of patient survival was 50.0% which is in accordance with the literature. Conclusion: Although the prognosis of hypopharyngeal tumours (18-40% at 5 years) remains poor, jejunum autografts are being shown to be an excellent choice for the reconstruction of the cervical hypopharyngo-oesophagus offering the patient quick rehabilitation and a reasonable quality of survival.

Original languageEnglish
Pages (from-to)53-58
Number of pages6
JournalRivista Italiana di Chirurgia Plastica
Volume34
Issue number1-2
Publication statusPublished - 2002

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Hypopharynx
Free Tissue Flaps
Jejunum
Hypopharyngeal Neoplasms
Rehabilitation
Survival
Autografts
Deglutition
Venous Thrombosis
Esophagus
Prostheses and Implants
Gastrointestinal Tract
Transplants
Neoplasms

Keywords

  • Hypopharyngeal cancer
  • Jejunum flap

ASJC Scopus subject areas

  • Surgery

Cite this

Benazzo, M., Alessiani, M., Occhini, A., Rizzi, L., Zanoletti, E., Casati, L., & Aresi, G. (2002). Jejunum free flap in hypopharynx reconstruction. Rivista Italiana di Chirurgia Plastica, 34(1-2), 53-58.

Jejunum free flap in hypopharynx reconstruction. / Benazzo, M.; Alessiani, M.; Occhini, A.; Rizzi, L.; Zanoletti, E.; Casati, L.; Aresi, G.

In: Rivista Italiana di Chirurgia Plastica, Vol. 34, No. 1-2, 2002, p. 53-58.

Research output: Contribution to journalArticle

Benazzo, M, Alessiani, M, Occhini, A, Rizzi, L, Zanoletti, E, Casati, L & Aresi, G 2002, 'Jejunum free flap in hypopharynx reconstruction', Rivista Italiana di Chirurgia Plastica, vol. 34, no. 1-2, pp. 53-58.
Benazzo M, Alessiani M, Occhini A, Rizzi L, Zanoletti E, Casati L et al. Jejunum free flap in hypopharynx reconstruction. Rivista Italiana di Chirurgia Plastica. 2002;34(1-2):53-58.
Benazzo, M. ; Alessiani, M. ; Occhini, A. ; Rizzi, L. ; Zanoletti, E. ; Casati, L. ; Aresi, G. / Jejunum free flap in hypopharynx reconstruction. In: Rivista Italiana di Chirurgia Plastica. 2002 ; Vol. 34, No. 1-2. pp. 53-58.
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