Free flap reconstruction of recalcitrant hypopharyngeal stricture.
A case report is presented of the use of a jejunal microvascular free flap for the reconstruction of a hypopharyngeal stricture caused by caustic ingestion. Although the airway was reestablished, there was aspiration and diplophonia. This case is discussed as an example of an effective treatment of a difficult problem, but one posing secondary problems arising from the use of jejunum.
McLear
P W
PW
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, MO 63110.
Hayden
R E
RE
Muntz
H R
HR
Fredrickson
J M
JM
D000293:Adolescent; D002057:Burns, Chemical / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery; D003251:Constriction, Pathologic / Q000601:surgery / Q000628:therapy; D003680:Deglutition Disorders / Q000628:therapy; D003902:Detergents / Q000009:adverse effects; D004106:Dilatation; D005500:Follow-Up Studies; D006801:Humans; D007013:Hypopharynx / Q000293:injuries / Q000601:surgery*; D007223:Infant; D007583:Jejunum / Q000637:transplantation; D008297:Male; D010608:Pharyngeal Diseases / Q000601:surgery / Q000628:therapy; D012008:Recurrence; D016038:Skin Transplantation; D013524:Surgical Flaps
D003902:Detergents