Ileocolic free flap for voice and swallowing rehabilitation after pharyngolaryngo-esophagectomy: a preliminary report

Ileocolic free flap for voice and swallowing rehabilitation after pharyngolaryngo-esophagectomy:... The usual approach for patients with advanced hypopharyngeal cancer is a multimodal treatment with surgical resection and radiation therapy. A circular pharyngolaryngoesophagectomy is mandatory in cases with advanced disease, even if it extends above the upper esophageal sphincter, followed by an immediate reconstruction. A microsurgical reconstructive technique is advised, based on Kawahara’s technique, using an ileocolic free flap as a single stage procedure for voice and swallowing rehabilitation. A total of four patients with advanced squamous cell carcinoma of the oropharynx was submitted to surgery. After pharyngolaryngoesophagectomy, the ileocolic complex was transposed and revascularized in the cervical field; the digestive tract restoration was performed with the cecum and ascending colon, while the last ileal loop was anastomosed to the cervical trachea. The continence mechanism of the ileocecal valve was used to protect the airways from inhalation of food and saliva and to obtain a monotonic phonation. A tracheal stoma was maintained to permit satisfactory breathing. All patients underwent this procedure successfully, with recovery of swallowing function and vocal performance within a short time, varying from 18 to 38 days. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Ileocolic free flap for voice and swallowing rehabilitation after pharyngolaryngo-esophagectomy: a preliminary report

Loading next page...
 
/lp/springer_journal/ileocolic-free-flap-for-voice-and-swallowing-rehabilitation-after-Vv20icZ9eF
Publisher
Springer-Verlag
Copyright
Copyright © 2000 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050001
Publisher site
See Article on Publisher Site

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial