Carotid artery obliteration and pharyngoesophageal reconstruction by free jejunal autograft.
Free jejunal autografting is increasingly recognized as a safe procedure of pharyngoesophageal reconstruction with good functional results, following circular total pharyngolaryngectomy for extended tumors of the pharynx or larynx. Very often, past history of irradiation and/or surgery of the neck have created severe atheromatous lesions of the cervical vessels. We report the case of a patient with obliteration of the right carotid artery and large recurrence of a tumor of the larynx in which simultaneous arterial venous bypass and free jejunal autograft were performed for pharyngoesophageal reconstruction.
Icard
P
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Clinique Chirurgicale, Hópital Cochin, Paris, France.
Rossat-Mignod
J C
JC
Schwaab
G
G
Houssin
D
D
D002340:Carotid Artery Diseases / Q000150:complications*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D010611:Pharyngectomy; D010614:Pharynx / Q000601:surgery*; D014182:Transplantation, Autologous