Jejunum free flap in hypopharynx reconstruction: case series.

Marco Benazzo, Antonio Occhini, Vanessa Rossi, Giuseppe Aresi, Mario Alessiani

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Surgical treatment of hypopharyngeal cancers with extension to the retrocricoid region 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. METHODS: This study examines the details of the surgical technique, the complications, the oncological and the functional results in a series of 29 consecutive patients submitted to circumferential pharyngoesophageal resection for advanced hypopharyngeal cancer followed by reconstruction with a free flap of jejunum. RESULTS: Three of the transplants failed because of venous thrombosis. The overall success rate was 90%. There were no general complications. A good swallowing has been preserved in all our patients. All our patients where a phonatory prosthesis was positioned (20/29) were able to achieve speech following speech therapy and all were satisfied with their own capacity to communicate. CONCLUSIONS: The prognosis of hypopharyngeal tumours (18-40% at 5 years) remains poor, but jejunum autografts are being shown to be an excellent choice for the reconstruction of the cervical hypopharyngo-oesophagus offering the patient fast rehabilitation and a reasonable quality of survival. Our experience confirm that this kind of reconstruction is safe with a good results in improving oncologic controls and restoring a good quality of life.

Original languageEnglish
Pages (from-to)13
Number of pages1
JournalBMC Cancer
Volume2
Issue number1
Publication statusPublished - May 10 2002

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Hypopharynx
Free Tissue Flaps
Jejunum
Hypopharyngeal Neoplasms
Speech Therapy
Autografts
Deglutition
Venous Thrombosis
Esophagus
Prostheses and Implants
Gastrointestinal Tract
Rehabilitation
Quality of Life
Transplants
Survival
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Jejunum free flap in hypopharynx reconstruction : case series. / Benazzo, Marco; Occhini, Antonio; Rossi, Vanessa; Aresi, Giuseppe; Alessiani, Mario.

In: BMC Cancer, Vol. 2, No. 1, 10.05.2002, p. 13.

Research output: Contribution to journalArticle

Benazzo, M, Occhini, A, Rossi, V, Aresi, G & Alessiani, M 2002, 'Jejunum free flap in hypopharynx reconstruction: case series.', BMC Cancer, vol. 2, no. 1, pp. 13.
Benazzo, Marco ; Occhini, Antonio ; Rossi, Vanessa ; Aresi, Giuseppe ; Alessiani, Mario. / Jejunum free flap in hypopharynx reconstruction : case series. In: BMC Cancer. 2002 ; Vol. 2, No. 1. pp. 13.
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