Hypopharyngeal reconstruction: a comparison of two alternatives.
作者： Eugene N. Myers , Kenneth Shestak , Neil F. Jones , Scott Williams , Egbert J. de Vries
DOI: 10.1288/00005537-198906000-00009
关键词:
摘要: Gastric pull-up or free jejunal interposition was used for reconstruction after total laryngopharyngectomy in 31 patients. Complications and functional outcomes of the two methods are compared. Primary swallowing achieved 86% patients gastric 82% interposition. Patients who underwent were able to swallow sooner had a shorter hospital stay than pull-up. Esophageal tumor recurrence not observed. Hepatic failure occurred patients, leading perioperative death one. Flap necrosis one patient. Two additional fistulas as result microvascular complications. Stricture developed four requiring revision surgery two. Minor complications more common group. Long-term speech function Our current choice primarily depends on location tumor.
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