One-stage repair of a cervical esophagostome with two myocutaneous flaps from the neck and shoulder.
A large esophagostome in a heavily radiated neck was reconstructed in one stage, using a sternocleidomastoid myocutaneous flap for lining and a trapezius myocutaneous flap for covering. The patient began eating on the seventh day and was discharged on the tenth day following the repair. Barium swallow studies demonstrated a widely patent esophagus, and the patient now has good esophageal speech.
D000328:Adult; D002277:Carcinoma / Q000532:radiotherapy; D004937:Esophageal Fistula / Q000209:etiology / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000532:radiotherapy; D008297:Male; D009132:Muscles / Q000637:transplantation*; D009333:Neck / Q000601:surgery; D011832:Radiation Injuries / Q000150:complications; D012782:Shoulder / Q000601:surgery; D016038:Skin Transplantation