The aim of this study was to evaluate the use of laryngeal (laryngotracheal) mucosa for reconstruction of the pharyngeal (pharyngoesophageal) defect resulting from resection of advanced pyriform sinus carcinoma. Thirteen patients with T3 and T4 pyriform sinus carcinoma who were treated surgically between January 1995 and January 1999 were studied. All patients underwent surgical resection of the tumor and immediate reconstruction with laryngeal (laryngotracheal) mucosa. There was no flap loss. Eleven patients without complications started oral intake of food 14 days after surgery. Two patients had pharyngocutaneous fistula and started oral feeding after 23 and 38 days, respectively. Although there was no local recurrence, five patients remained free of disease for more than 3 years. This technique results in less trauma, a low incidence of complications, and a fast reconvalescence. This is significant because the outcome in these patients remains poor, regardless of therapy. The use of laryngeal (laryngotracheal) mucosa is therefore advocated as the method of choice in reconstruction after resection of advanced pyriform sinus carcinoma.
European Journal of Plastic Surgery – Springer Journals
Published: Jan 14, 2000
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