Document Detail


Reconstruction of the hypopharynx with U-shaped pectoralis major myocutaneous flap after total pharyngo-laryngectomy.
MedLine Citation:
PMID:  15175883     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Resection of the whole circumference of the pharynx and esophagus is usually reconstructed with gastric pull-up, jejunum free graft or free forearm flap. The aim of this study was to assess the use of pectoralis major myocutaneous flap for closure of total pharyngeal defect. In 11 patients with hypopharynx and larynx cancer, total pharyngo-laryngectomy and excision of the cervical part of the esophagus and neck dissections were performed; the defects were closed with pectoralis major myocutaneous flaps. The skin island was sutured to prevertebral muscles, forming a letter U shape. Good healing was obtained in six patients, and five patients developed fistula that closed spontaneously within 3-4 weeks. The use of U-shaped pectoralis major myocutaneous flap, suturing it to prevertebral muscles, gives good functional results, and it is a simple and time-saving second choice method of reconstruction of the pharynx after total pharyngo-laryngectomy.
Authors:
Kamal Morshed; Marcin Szymański; Wiesław Gołabek
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Publication Detail:
Type:  Journal Article     Date:  2004-06-02
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  262     ISSN:  0937-4477     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-20     Completed Date:  2005-10-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  259-62     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Medical University of Lublin, ul. Jaczewskiego 8, 20-954 Lublin, Poland. kamal1@op.pl
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MeSH Terms
Descriptor/Qualifier:
Aged
Carcinoma, Squamous Cell / surgery
Deglutition / physiology
Humans
Hypopharyngeal Neoplasms / surgery
Hypopharynx / surgery*
Laryngectomy*
Male
Middle Aged
Pectoralis Muscles / transplantation*
Pharyngectomy*
Recovery of Function / physiology
Surgical Flaps*
Suture Techniques
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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