Current technics for reestablishing the cervical digestive tract after circular pharyngo-laryngectomy
Petriat, B.; Traissac, L.; de Paiva, A.; Pinsolle, J.; Renaud-Salis, J.L.; Devars, F.
Anales Otorrinolaringologicos Ibero-Americanos 12(1): 65-74
1985
ISSN/ISBN: 0303-8874 PMID: 3985298 Document Number: 255874
New techniques for reestablishment of the digestive tract after circular pharyngolaryngectomy because of malignant growth are presented. The survey summarizes 7 cases, seen between 1979-1982. In 5 patients a myocutaneous flap was done. In the other 2, a free gastroepyploic transfer through microsurgery was successfully attempted. The myocutaneous flap (taken from the M. pectoralis major) is technically and functionally considered the most convenient for pharyngoesophageal reconstruction, reserving the free gastroepyploic transfer for fibrotic or swollen neck tissues.