Vascularized flaps for pharynx and cervical esophagus reconstruction


Cite item

Full Text

Abstract

The article presents the results of application vascularized fascio-cutaneous flaps to replace partial and circular defects of the pharynx and cervical esophagus in patients with recurrent cancer of the larynx and hypopharynx. For a long time gastroepiploic flap, fragments of small and large intestine were usedfor restoring continuity of the pharynx, however, since high morbidity radiation and anterio-lateral thigh flaps are more justified to be used.

About the authors

Oksana A. Saprina

N.N. Blokhin Russian Cancer Research Center

Email: isabekian@mail.ru
MD, PhD 115478, Moscow, Russian Federation

M. A Kropotov

N.N. Blokhin Russian Cancer Research Center

115478, Moscow, Russian Federation

V. A Sobolevskiy

N.N. Blokhin Russian Cancer Research Center

115478, Moscow, Russian Federation

G. V Ungiadze

N.N. Blokhin Russian Cancer Research Center

115478, Moscow, Russian Federation

References

  1. Давыдов М. И., Аксель Е. М., ред. Злокачественные новообразования в России и странах СНГ в 2012 г. М.: РОНЦ им. Н.Н. Блохина РАМН; 2014.
  2. Anthony J.P., Singer M.I., Mathes S.J. Pharyngoesophageal reconstruction using the tubed free radial forearm flap. Clin. Plast. Surg. 1994; 21: 137-47.
  3. Zhang B., Tang P.Z., Xu Z.G. et all. Reconstruction of hypopharyngeal circumferential defects: pharyngogastric anastomosis or free jejunal interposition. Zhonghua Er Bi Yan Hou Ke Za Zhi. 2004; 39: 419-24.
  4. Yu P., Robb G.L. Pharyngoesophageal reconstruction with the anterolateral thigh flap: a clinical and functional outcomes study. Plast. Reconstr. Surg. 2005; 116(7): 1845-55.
  5. Yu P., Hanasono M.M., Skoracki R.J. et al. Pharyngoesophageal reconstruction with the anterolateral thigh flap after total laryngopharyngectomy. Cancer. 2010; 116(7): 1718-24.
  6. Lewin J.S., Barringer D.A., May A.H. et al. Functional outcomes after circumferential pharyngoesophageal reconstruction. Laryngoscope. 2005; 115(7): 1266-71.
  7. Kelly K.E., Anthony J.P., Singer M. Pharyngoesophageal reconstruction using the radial forearm fasciocutaneous free flap: preliminary results. Otolaringol. Head Neck Surg. 1994; 111(1): 16-24.
  8. Disa J.J., Cordeiro P.G. Reconstruction of the hypopharynx and cervical esophagus. Clin. Plast. Surg. 2001; 28: 349-56.
  9. Scharpf J., Esclamado R.M. Reconstruction with radial forearm flaps after ablative surgery for hypopharyngeal cancer. Head Neck. 2003; 25: 261-7.

Copyright (c) 2015 Eco-Vector


 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies