Microvascular Free Transfer in Reconstruction of the Pharynx and Cervical Esophagus

Vavylov, V N; Ushakov, V S; Tokarevitch, K K; Krasnoumov, A N; Kasyanov, I V; Semyonov, S V

doi:10.1097/00000637-199311000-00010

Cited by 3 publications

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“…Partial laryngectomies, indicated for the treatment of initial tumors, treat the neoplasm but prevent voice restoration 1 . 2 Several techniques have been developed for voice restoration in total laryngectomies 3 –8 . Various innovative techniques using microsurgery have been devised, with ileocolic transplantation 9 and jejunal graft segment transplantation 10 being the most popular in the literature.…”

Section: Introductionmentioning

confidence: 99%

Functional evaluation of the ileocolic sphincter transplanted to the neck using microsurgery technique: a manometric study in dogs *

Uvo¹,

Henry²,

Bretan³

1999

Diseases of the Esophagus

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The usefulness of ileocolic sphincter (ICS) transplantation to the neck after a total laryngopharyngectomy was investigated in 12 mongrel dogs. The authors aimed to evaluate the influence of the transplantation on ICS pressure amplitude and ICS length, and on ICS resistance to intracecal pressure increase. Electromanometric measurements showed that ICS pressure amplitude and length presented no changes after the procedure. Also, there was no significant change in ICS resistance. However, long-term follow-up studies are needed to determine whether the ileocolic transition maintains the properties observed in the immediate postoperative period.

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Section: Introductionmentioning

confidence: 99%

Functional evaluation of the ileocolic sphincter transplanted to the neck using microsurgery technique: a manometric study in dogs *

Uvo¹,

Henry²,

Bretan³

1999

Diseases of the Esophagus

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Supraclavicular Artery Flap

Liu

Chiu

2009

Annals of Plastic Surgery

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Laryngopharyngeal oncologic resections produce complex reconstructive problems, requiring dependable robust flaps to restore form and function. Current options include morbid local-regional flaps or free tissue transfers. The supraclavicular artery flap (SAF) offers a great new option. Partial pharyngeal oncologic defects were reconstructed with pedicled SAFs. Handheld Doppler probes marked the pedicle preoperatively. Flaps were design based upon the dopplered vascular anatomy. Complications and functional outcomes were assessed. All flaps (n = 6) were harvested in under 1 hour with uneventful postoperative recoveries. Ablative wounds and donor sites were closed primarily. Two patients had small controlled leaks because of preoperative radiation and overly aggressive oral intakes, that subsequently resolved. There were no functional donor site morbidities. We describe a novel application of the SAF for pharyngeal reconstructions after laryngopharyngeal cancer ablation. This thin, reliable, easy to harvest, low morbidity flap is an excellent reconstructive option for pharyngeal reconstructions.

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Ileal free flap for hypopharynx reconstruction – case series

Tintinago-Londoño,

Candelo,

Guzmán

et al. 2024

Innovative Surgical Sciences

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Objectives Reconstructing the hypopharynx while preserving the larynx poses a complex surgical challenge due to the limited space and the high position of the hypopharynx in the neck. We present our experience with hypopharyngeal reconstruction and larynx preservation using an ileal free flap. Case presentation Six consecutive cases were reported (age range 17–75; 2 females). Indications for surgery were tumor excision, postexcision flap failure, postradiation stenosis, caustic ingestion injury, and cervical esophageal perforation. The larynx was preserved in four cases. Graft survival rate was 100 %. Videofluoroscopic swallowing studies conducted at postoperative day 20–80 were normal in three cases. Two cases presented with stenosis but responded well to endoscopic dilations. Unfortunately, the third case expired due to tumor recurrence. Conclusions The ileal free flap is a surgical alternative for the reconstruction of the hypopharynx, especially in cases where the larynx is preserved.

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Microvascular Free Transfer in Reconstruction of the Pharynx and Cervical Esophagus

Cited by 3 publications

References 0 publications

Functional evaluation of the ileocolic sphincter transplanted to the neck using microsurgery technique: a manometric study in dogs *

Functional evaluation of the ileocolic sphincter transplanted to the neck using microsurgery technique: a manometric study in dogs *

Supraclavicular Artery Flap

Ileal free flap for hypopharynx reconstruction – case series

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