The Jejunal Free Flap In Oral Cavity And Pharyngeal Reconstruction

Bh, Haughey

doi:10.1016/s0030-6665(20)30592-2

Cited by 39 publications

(1 citation statement)

References 11 publications

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“…Xerostomia is one of the many problems encountered following irradiation of the oral cavity. In an effort to minimize this debilitating side effect, jejunal and colon patches have been used for floor of the mouth reconstruction [45][46][47]. These flaps combine thinness and pliability with the capacity to produce mucus.…”

Section: Floor Of the Mouthmentioning

confidence: 99%

Functional Reconstruction of the Oral Cavity

2003

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Reconstruction of the oral cavity is an intricate subject that reflects the complexity of the oral cavity itself. There is no perfect reconstruction. Presented here are the current optimal choices for the various regions within the oral cavity. We are constantly seeking to improve these reconstructions in an effort to restore optimal function to patients unfortunate enough to require surgical excision of this most elaborate of anatomic structures.

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Section: Floor Of the Mouthmentioning

confidence: 99%

Functional Reconstruction of the Oral Cavity

2003

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Laparoscopic Harvest of the Jejunal Free Flap for Reconstruction of Hypopharyngeal and Cervical Esophageal Defects

Wadsworth¹,

Futran²,

Eubanks³

2002

Arch Otolaryngol Head Neck Surg

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Porcine small intestine graft for reconstruction of oral defects

Membreno

Eid

Vanison

et al. 2021

Laryngoscope Investig Oto

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Objective: To evaluate the feasibility and outcomes of porcine submucosal allograft (Biodesign Sinonasal Repair Graft [Cook Medical, Bloomington, IN]) in oral cavity and oropharynx reconstruction after ablative surgery. Methods:We conducted a prospective and retrospective review of patients who underwent Biodesign Sinonasal Repair Graft reconstruction for oral and oropharyngeal surgical defects at a single institution between 2018 and 2020. A total of 11 patients were included in the study. Data points included their perioperative medical and demographic data, immediate postoperative course, and follow-up visits at 10 days and at 2 months. The clinicopathologic characteristics of their disease, postoperative esthetic, and functional outcomes were recorded and analyzed.Results: Eleven procedures have been performed, and all patients received Biodesign reconstruction either immediately after ablation or after they failed a previous reconstruction. None of the patients had bone exposure. The subsites included oral tongue (n = 6), floor of the mouth (n = 3), buccal mucosa (n = 1), and soft palate (n = 1). In all cases, the operations and the postoperative course were uneventful. The mean defect size was 22 cm 2 . The median start of oral intake was at 2 days postoperatively. The Biodesign graft healed well in all patients with no total graft loss. There was one complication that required revision surgery due to obstruction of Wharton's duct by the Biodesign material.Conclusions: Biodesign can be a viable option for small and medium-sized oral and oropharyngeal defects in patients who are medically unfit or do not want to undergo a free flap surgery.

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The Jejunal Free Flap In Oral Cavity And Pharyngeal Reconstruction

Cited by 39 publications

References 11 publications

Functional Reconstruction of the Oral Cavity

Functional Reconstruction of the Oral Cavity

Laparoscopic Harvest of the Jejunal Free Flap for Reconstruction of Hypopharyngeal and Cervical Esophageal Defects

Porcine small intestine graft for reconstruction of oral defects

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