[Evaluation of 16 severe pharyngo-esophageal caustic stenoses. Value of the anterior approach in an ileo-colic transplant].
Results of treatment of 16 cases of severe pharyngo-esophageal stenosis of caustic origin are reviewed. Emergency treatment is described, the place of otorhinolaryngology in investigation of lesions of upper respiratory and digestive tract discussed, and a description given of a technique of esophagopharyngoplasty by right ileocolic transplant with a suprahyoidal or supraglottic anterior cervical approach with epiglottectomy. Strict selection of patients is essential, taking into account their psychiatric profile. The functional result of this operation, with its long and difficult postoperative course, was inconstant (11 of the 16 cases could be fed liquids and solids by mouth exclusively, ensuring maintenance of body weight, although endoscopic dilatation might be necessary in one or two cases), and appears to depend on the outcome of corrosive lesions and psychologic behavior of patients.
D000293:Adolescent; D000328:Adult; D002057:Burns, Chemical / Q000601:surgery*; D003106:Colon / Q000637:transplantation*; D003251:Constriction, Pathologic / Q000139:chemically induced / Q000601:surgery; D004940:Esophageal Stenosis / Q000139:chemically induced* / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D008722:Methods; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000139:chemically induced* / Q000601:surgery
Bilan de 16 sténoses caustiques graves pharyngo-oesophagiennes. Intérêt de l'abord antérieur cervical dans la transposition iléo-colique.