Jejunum free flap in hypopharynx reconstruction: Case seriesReportar como inadecuado

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BMC Cancer

, 2:13

First Online: 10 May 2002Received: 31 July 2001Accepted: 10 May 2002DOI: 10.1186-1471-2407-2-13

Cite this article as: Benazzo, M., Occhini, A., Rossi, V. et al. BMC Cancer 2002 2: 13. doi:10.1186-1471-2407-2-13


BackgroundSurgical 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.

MethodsThis 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.

ResultsThree 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.

ConclusionsThe 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.

List of abbreviationsSQswallowing questionnaire

MRNDmodified radical neck dissection

Autor: Marco Benazzo - Antonio Occhini - Vanessa Rossi - Giuseppe Aresi - Mario Alessiani


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