Simultaneous reconstruction of cervical esophagus and oral cavity with one free jejunal graft.
A case of simultaneous reconstruction of the cervical esophagus and oral cavity with one free jejunal graft is described. A 36-year-old patient had suffered from stricture of the cervical esophagus after reconstruction with a deltopectoral flap and, at the same time, had developed cancer of the anterior floor of the mouth. Both defects were simultaneously reconstructed with one free jejunal graft pedicled on one pair of jejunal vessels. A segment of jejunum was divided into three portions leaving the mesenterium intact. The middle portion was discarded; one portion was used for cervical-esophageal reconstruction and the rest was split longitudinally and used for resurfacing the oral cavity.
Harashina
T
T
Department of Plastic and Reconstructive Surgery, Saitama Medical Center, Saitama Medical School, Japan.
Inoue
T
T
Tanaka
I
I
Hatoko
M
M
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D009061:Mouth Mucosa / Q000601:surgery*; D009062:Mouth Neoplasms / Q000532:radiotherapy / Q000601:surgery*