title: U-shaped free jejunal transplantation: improved technique and indications.
abstract: Reconstruction of the oropharynx and the hypopharynx is difficult due to their wide diameters. We report eight cases of circumferential pharyngolaryngectomies for epidermoid carcinomas of the hypopharynx extended to the oropharynx and classified T4. Reconstruction was performed with a U-shaped free jejunal transplantation. This specific technique consists of a side to side anastomosis between two loops of jejunum. It facilitates reconstruction at the level of the oropharynx and diminishes postoperative complications.
authors.affiliation: Département de Chirurgie Cervico-faciale, Institut Gustave-Roussy, Villejuif, France.
authors.forename: M A
authors.initials: MA
authors.lastname: Germain
authors.forename: D
authors.initials: D
authors.lastname: Agudelo
authors.forename: M
authors.initials: M
authors.lastname: Julieron
authors.forename: B
authors.initials: B
authors.lastname: Luboinski
authors.forename: J
authors.initials: J
authors.lastname: Trotoux
authors.forename: A
authors.initials: A
authors.lastname: Clavier
authors.forename: A
authors.initials: A
authors.lastname: Marzetti
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D009959:Oropharyngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D013524:Surgical Flaps