Abstract The use of free skin grafts for reconstruction of the pharynx after laryngopharyngectomy for neoplastic disease is well documented.1,2,5,8-16 However, the opportunity to use these grafts for benign post-traumatic and postinfectious cicatricial stenosis of the pharynx finds infrequent application. A review of the literature reveals very few recorded instances of this use.3,4,6,13 The mechanism producing post-traumatic stenosis must be extraordinary. Many of these patients probably die as a result of the initial injury and never reach the stage of stricture formation. We recently have had experience in managing one such case who lived to develop a stricture and merits recording. Report of Case The 8-year-old son of circus performers sustained an injury to his neck and pharynx when he was pulled by a rope about his neck for a distance of 300 ft. by a runaway horse. The injury included fracture of three cervical vertebrae without neurological sequelae References 1. Ashley, F. L.; Briggs, J. D., and Affley, H. J.: Reconstruction of the Pharynx , Plast. & Reconstruct. Surg. 16:362-373 ( (Nov.) ) 1955. 2. Conley, J. J.: A One Stage Operation for the Immediate Reconstruction of the Pharynx and Cervical Esophagus Following Radical Resection , West. J. Surg. 63:355 ( (June) ) 1950. 3. Curtis, B. T.: Cicatricial Stenosis of Pharynx Cured by Plastic Operation , Ann. Surg. 33:152-156, 1901. 4. Dannaner, G. M.: Treatment of Stricture of Oropharynx , Arch. Otolaryng. 14:731-736 ( (Dec.) ) 1931. 5. Gardham, A. J.: The Evolution of Major Surgery in the Mouth and Pharynx from the Time of Trotter to the Present Day , Ann. Roy. Coll. Surgeons England 17:291-304 ( (Nov.) ) 1955. 6. Giraud, J. C.: Utilization of Free Skin Grafts in the Surgery of Irreducible Cicatricial Stenoses , Bull. Acad. nat. méd. 138:379-382 ( (July) ) 1954. 7. Kazanjian, V. H.: Stenosis of the Oral Pharynx, comment on Sanders.13 8. LeJeune, F. E.; Lewis, M., Jr., and Normann, F.: A Review of the Available Literature on the Pharynx and Pharyngeal Surgery for 1953 , Laryngoscope 64:887-910 ( (Nov.) ) 1954. 9. Lewis, G. K.; Snitman, M. F., and Leowy, A.: Reconstruction Method Following Laryngopharyngectomy , Ann. Otol. Rhin. & Laryng. 66:86-105 ( (March) ) 1957. 10. Martin, H.: Surgery of Head and Neck Tumors , New York, Paul B. Hoeber, Inc. (medical book department of Harper & Brothers), 1957. 11. Moore, F. T., and Faulkner, T.: Repair Following Pharyngoesophagolaryngectomy , Brit. J. Plast. Surg. 6:102-114 ( (July) ) 1953. 12. Negus, V. E.: Reconstruction of Pharynx After Pharyngoesophagolaryngectomy , Brit. J. Plast. Surg. 6:99-101 ( (July) ) 1953. 13. Sanders, S. H.: Method of Treatment of Extensive Stricture in Oropharynx , Tr. Am. Acad. Ophth. 52:497-507 ( (May) -June) 1948. 14. Shaw, H. J., and Ormerod, F. G.: Pharyngolaryngectomy with Primary Sleeve Graft Reconstruction , J. Laryng. & Otol. 71:175-201 ( (March) ) 1957. 15. Willems, A.: New Method of Subtotal Laryngectomy: Endolaryngeal Implantation Thiersch Grafts , A. M. A. Arch. Otolaryng. 60:726 ( (Dec.) ) 1954. 16. Woods, R. R.: Reconstruction of the Pharynx After Laryngopharyngectomy , J. Laryng. & Otol. 71:800-805 ( (Dec.) ) 1957.
A.M.A. Archives of Otolaryngology – American Medical Association
Published: Nov 1, 1959