Reconstruction of Hypopharynx and Cervical Esophagus using Gastric Pull Up and Jejunal Free Graft

인두위문합술과 유리공장이식술을 이용한 하인두 및 경부식도 재건술

  • 정동학 (인하대학교 의과대학 이비인후과학교실) ;
  • 김영모 (인하대학교 의과대학 이비인후과학교실) ;
  • 이원영 (연세대학교 원주의과대학 이비인후과학교실) ;
  • 김대식 (연세대학교 원주의과대학 이비인후과학교실) ;
  • 노병선 (연세대학교 원주의과대학 일반외과학교실)
  • Published : 1996.06.01

Abstract

Reconstruction for hypopharynx and cervical esophagus after wide resection of extensive hypopharynx and larynx cancers have been used various methods including myocutaneous flaps, gastric pull up, md jejunal or large bowel free graft. Recently, the authors had experienced hypopharynx and larynx cancers with extension to the posterior hypopharyngeal wall and thoracic esophagus. Of course, these reconstructive methods should be selected in accordance with the patient's age, physical status, extend of prim.:W lesion, and defect after on block resection, however, gastric pull up was performed in hypopharynx cancer which had skipped lesion in the thoracic esophagus and jejunal free grafts were performed in case 2, 3 which had a extended lesions to the posterior pharyngeal wall. Some complications were noted, which were successfully stabilized by conservative managements. The gastric pull up and jejunal free graft were considered suitable methods for reconstrunction of hypopharynx and cervical esophagus, however, further studies are necessary about it.

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