Pharyngoesophageal reconstruction with revascularized jejunal transplants

During the period 1972-1982, 84 pharyngoesophageal reconstructions were performed on 82 patients (10 benign lesions and 72 malignant lesions) by the Department of Otolaryngology, Mount Sinai Medical Center, New York. The overall mortality for the series was 10%, with postoperative complications developing in the majority of patients and swallowing accomplished in 61%. The most successful method of reconstruction was stomach transposition (92%), followed by cervical flap repair (68%). The least successful methods were the use of the tubed deltopectoral and pectoralis major myocutaneous flaps, colon interposition, and jejunal autografts (40%-50%). The pertinent literature is reviewed and the reported mortality, morbidity, indications, limitations, and success rates for each method of reconstruction are analyzed and compared with the present series.

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“…Sporadic case reports appeared during the next decade ( J u r k i e~i c z , ~~ Harrison,18 Roberts and Douglass,88 and Peters et al 89). …”

Section: Visceramentioning

confidence: 95%

“…Seidenberg et a1.86 described the use of revascularized jejunal autografts for esophageal reconstruction in dogs in 1958, and in one patient the following year. Sporadic case reports appeared during the next decade ( J u r k i e~i c z ,~~ Harrison,18 Roberts and Douglass,88 and Peters et al 89).…”

Section: Gastric Autograftmentioning

confidence: 99%

Analysis of the methods of pharyngoesophageal reconstruction

1984

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“…In 1961, Roberts and Douglass31 described successful rehabilitation of swallowing function following JFF. Thereafter, with advancements in free tissue transfer, such as the introduction of the operating microscope and refinements in instrumentation,32–34 JFF reconstruction of circumferential pharyngeal defects (Figures 5 and 6) rapidly gained popularity with numerous large case series reported in the literature since the 1980s 6, 7, 10, 12, 35–38. The reasons for its widespread adoption were as follows: lower perioperative mortality (overall rate 3%), availability of a ready‐made mucosal tube with a lumen caliber closely matching the esophagus, ability to perform an immediate single‐stage reconstruction, availability of longer jejunal segments for defects extending to the oropharynx or nasopharynx, less gravitational tension on the anastomotic suture lines than a pedicled flap, and rapid return to swallow.…”

Section: Intestinal Free Flapsmentioning

confidence: 99%

Circumferential pharyngeal reconstruction: History, critical analysis of techniques, and current therapeutic recommendations

et al. 2009

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Reconstruction of circumferential pharyngeal defects following total pharyngolaryngectomy presents major challenges with respect to surgical morbidity and restoration of functional deficits, which are often made more demanding by the increasing trend to utilize primary chemoradiation protocols with surgery reserved for salvage cases. The present review evaluates the reconstructive techniques described in the literature, including historical techniques as well as more recent innovative methods. Each technique is critically appraised with particular reference to postoperative morbidity and functional rehabilitation. Treatment recommendations are made based on the available evidence.

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“…(Iskeçeli, (1962 25 ); Green e Som, 1966a;Peters et al, 1971;Yang et al, 1981;Gluckman et al, 1985;Carlson et al, 1993;Suh et al, 2004). (Zhang et al, 2000).…”

Section: -Caso Nº 35mentioning

confidence: 99%

“…(Zhang et al, 2000). Todos os autores (Seidenberg, 1959;Roberts e Douglas, 1961;Green e Som, 1966a;Peters et al, 1971) (Kott et al, 1977;Yang et al, 1981).…”

Section: -Caso Nº 35mentioning

confidence: 99%

Reconstrução da transição faringoesofágica com segmento de jejuno transferido com técnicas de microcirurgia vascular

Zeferino¹

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Pharyngoesophageal reconstruction with revascularized jejunal transplants

Cited by 52 publications

References 6 publications

Analysis of the methods of pharyngoesophageal reconstruction

Analysis of the methods of pharyngoesophageal reconstruction

Circumferential pharyngeal reconstruction: History, critical analysis of techniques, and current therapeutic recommendations

Reconstrução da transição faringoesofágica com segmento de jejuno transferido com técnicas de microcirurgia vascular

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