Free jejunal graft reconstruction after total pharyngolaryngeal resection for hypopharyngeal cancer

The free jejunal graft is a very useful procedure for hypopharyngeal reconstruction after total pharyngo‐laryngectomy. Between 1985 and 1994 56 patients with squamous cell carcinoma of the hypopharynx were treated by this method. The median age was 54 (range 35–76). There were 54 men and 2 women. Th...

Full description

Saved in:
Bibliographic Details
Published in:Clinical otolaryngology and allied sciences 1997-03, Vol.22 (1), p.41-73
Main Authors: CHEVALIER, D., TRIBOULET, J.P., PATENOTRE, P., LOUGUET, F.
Format: Article
Language:English
Subjects:
Adult
Aged
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Female
free jejunal graft
Humans
hypopharyngeal cancer
Hypopharyngeal Neoplasms - mortality
Hypopharyngeal Neoplasms - pathology
Hypopharyngeal Neoplasms - surgery
Hypopharynx - pathology
Hypopharynx - surgery
Jejunum - surgery
Larynx - surgery
Male
Middle Aged
Neoplasm Metastasis
Neoplasm Recurrence, Local
reconstruction
Retrospective Studies
Survival Rate
Transplantation, Autologous
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The free jejunal graft is a very useful procedure for hypopharyngeal reconstruction after total pharyngo‐laryngectomy. Between 1985 and 1994 56 patients with squamous cell carcinoma of the hypopharynx were treated by this method. The median age was 54 (range 35–76). There were 54 men and 2 women. The mortality rate was 4% (2/56). The graft failure was 4% (2/56). Good swallowing function was achieved in 91% (49/54 assessable patients). Nine patients developed local recurrences, four patients had local and neck recurrences. Distant metastases occurred in six patients and five developed metachronous cancers. Follow‐up analysis showed a 5‐yr survival rate of 33%. After 10 yr, the free jejunal graft has become, for us, the method of choice for hypopharyngeal reconstruction after total pharyngolaryngectomy.
ISSN:0307-7772
1365-2273
DOI:10.1046/j.1365-2273.1997.00856.x