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Reconstruction of the pharynx after laryngectomy and partial pharyngectomy

Published online by Cambridge University Press:  29 June 2007

N. D. Stafford  and
R. N. Matthews
N. D. Stafford*
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3.
R. N. Matthews
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3.
*
N. Stafford, St. Mary's Hospital, Praed Street, London W2 INY.
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Abstract

Stricture formation may occur after pharyngolaryngectomy it less than one half of the circumference of the pharynx is available for primary closure. However, the alternative of total pharyngectomy with skin flap or visceral replacement carries with it a high mortality and morbidity rate. In an attempt to overcome these problems, a policy of patch grafting the paryngeal defect with a myocutaneous flap or segment of free vascularised jejunum has been adopted whenever a strip of pharyngeal mucosa greater than one centimetre in width remains after excision of the tumour. A good post-operative smallow has been achieved in all cases.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 1 , January 1988 , pp. 45 - 48
Copyright
Copyright © JLO (1984) Limited 1988

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References

Ariyan, S. (1979) The pectoralis major myocutaneous flap: A versatile flap for reconstruction in the head and neck. Plastic and Reconstructive Surgery, 63: 73–81.CrossRefGoogle ScholarPubMed
Griffiths, J. D. and Shaw, H. J. (1973) Cancer of the laryngopharynx and cervical oesophagus. Archives of Otolaryngology, 97: 340–346.CrossRefGoogle Scholar
Harrison, D. F. N. (1981) Surgical repair in hypopharyngeal and cervical esophageal cancer: analysis of 162 patients. Annals of Otology, Rhinology and Laryngology, 90: 372–375.CrossRefGoogle ScholarPubMed
Harrison, D. F. N., Thompson, A. E. and Buchanan, G. (1981) Radical resection for cancer of the hypopharynx and cervical oesophagus with repair by stomach transposition. British Journal of Surgery, 68: 781–783.CrossRefGoogle ScholarPubMed
McConnell, F. M. S., Hester, T. R., Nahai, F., Jurkiewicz, M. J. and Brown, R. G. (1981) Free jejunal grafts for reconstruction of the pharynx and cervical esohagus. Archives of Otolaryngology, 107: 476–481.CrossRefGoogle Scholar
McGregor, I. A. (1981) A ‘defensive’ approach to the island pectoralis major myocutaneous flap. British Journal of Plastic Surgery, 34: 435–437.CrossRefGoogle Scholar
Reid, C. D. and Taylor, G. I. (1984) The vascular territory of the acromiothoracic axis. British Journal of Plastic Surgery, 37: 194–212.CrossRefGoogle ScholarPubMed
Shaw, H. J. (1986) Personal communication.Google Scholar
Silver, C. E. (1981) Surgery for cancer of the larynx and related structures. 1st edition. Edinburgh, Churchill Livingstone.Google Scholar
Slaney, G. and Dalton, G. A. (1973) Problems of viscus replacement following pharyngolaryngectomy. Journal of Laryngology and Otology, 87: 539–546.CrossRefGoogle Scholar
Stell, P. M. (1970) Esophageal replacement by transposed stomach. Archives of Otolaryngology, 91: 166–170.CrossRefGoogle ScholarPubMed
Wei, W. I., Lam, K. H. and Wong, J. (1984) The true pectoralis major myocutaneous island flap: an anatomical study. British Journal of Plastic Surgery, 34(4): 568–573.CrossRefGoogle Scholar