Free jejunal patch flaps in oral and oro-pharyngeal reconstruction

Free jejunum has been commonly tubed to provide a reconstructive pharyngeal conduit following pharyngolaryngectomy. It is also common practice to repair small oral and oro-pharyngeal defects with skinlined flaps i.e. radial free forearm or pectoralis major myocutaneous flap. Free jejunal patch flaps...

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Bibliographic Details
Published in:Journal of laryngology and otology 1999-07, Vol.113 (7), p.680-682
Main Authors: Cocks, H. C., Kumar, B. N., Gupta, A. R. Das, Simms, M. H.
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Clinical Records
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Jejunum
Male
Medical sciences
Middle Aged
Mouth
Mouth - surgery
Mouth Neoplasms - surgery
operative
Oropharynx
Oropharynx - surgery
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Surgery, Plastic - methods
Surgical Flaps
Treatment Outcome
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Description
Summary:Free jejunum has been commonly tubed to provide a reconstructive pharyngeal conduit following pharyngolaryngectomy. It is also common practice to repair small oral and oro-pharyngeal defects with skinlined flaps i.e. radial free forearm or pectoralis major myocutaneous flap. Free jejunal patch flaps can provide cover for large defects, secrete mucus, tolerate radiotherapy well and do not contract. The operation is associated with a low morbidity and early return of swallowing is feasible. Here we describe the functional results of free jejunal patch flap reconstruction of extensive oral and oro-pharyngeal defects.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100144846