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 language | English |
|---|---|
| Pages (from-to) | 53-58 |
| Number of pages | 6 |
| Journal | Rivista Italiana di Chirurgia Plastica |
| Volume | 34 |
| Issue number | 1-2 |
| Publication status | Published - 2002 |
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Keywords
- Hypopharyngeal cancer
- Jejunum flap
ASJC Scopus subject areas
- Surgery
Cite this
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 journal › Article
}
TY - JOUR
T1 - Jejunum free flap in hypopharynx reconstruction
AU - Benazzo, M.
AU - Alessiani, M.
AU - Occhini, A.
AU - Rizzi, L.
AU - Zanoletti, E.
AU - Casati, L.
AU - Aresi, G.
PY - 2002
Y1 - 2002
N2 - 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.
AB - 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.
KW - Hypopharyngeal cancer
KW - Jejunum flap
UR - http://www.scopus.com/inward/record.url?scp=0036961344&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036961344&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0036961344
VL - 34
SP - 53
EP - 58
JO - Rivista Italiana di Chirurgia Plastica
JF - Rivista Italiana di Chirurgia Plastica
SN - 0391-2221
IS - 1-2
ER -