Simultaneous reconstruction of cervical soft tissue and esophagus with a gastro-omental free flap.
A microvascular transfer of gastric tube and omentum was used to simultaneously reconstruct cervical soft-tissue and esophageal defects in five patients. All patients had previous high-dose radiation and multiple flap reconstructions. The largest esophageal and soft-tissue defects were 10 cm and 160 cm2, respectively. All wounds healed primarily except for one orocutaneous fistula. There was one death from an intraoperative stroke. The gastro-omental flap is useful in cases where the reconstructive surgeon is faced with both esophageal and soft-tissue defects--particularly in heavily irradiated patients who have few reconstructive options.
Mixter
R C
RC
University of Wisconsin Hospital, Madison.
Rao
V K
VK
Katsaros
J
J
Noon
J
J
Tan
E
E
D000714:Anastomosis, Surgical / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009333:Neck / Q000601:surgery*; D009852:Omentum / Q000637:transplantation*; D011832:Radiation Injuries / Q000601:surgery*; D013270:Stomach / Q000637:transplantation*; D013524:Surgical Flaps / Q000379:methods*