Greater omentum used for carotid cover after pharyngolaryngoesophagectomy and gastric 'pull-up' or colonic 'swing'.
An excellent method of rehabilitation for swallowing after total pharyngolaryngoesophagectomy is the reconstruction of the pharyngoesophagus with an autogenous visceral transplant. The most popular and reliable methods are the gastric "pull-up" and colonic "swing." A complication of this procedure--which can result in morbidity as well as mortality--is carotid artery rupture, especially when a neck dissection is performed. This is usually the result of wound breakdown secondary to adjunctive use of radiotherapy. When we have performed a radical neck dissection in conjunction with a visceral transplantation, we have used pedicled omentum as a live, durable cover for the carotid artery. ?
D002340:Carotid Artery Diseases / Q000517:prevention & control*; D003106:Colon / Q000601:surgery*; D003679:Deglutition; D004947:Esophagus / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D007825:Laryngectomy; D009852:Omentum / Q000098:blood supply / Q000601:surgery*; D010611:Pharyngectomy; D012421:Rupture; D013270:Stomach / Q000601:surgery*; D013524:Surgical Flaps