[Reconstruction of upper esophagus after treatment of cancer in the larynx, hypopharynx and upper esophagus].
BACKGROUND
Two new methods of reconstructing the proximal oesophagus after resection of cancer in the larynx, hypopharynx, or proximal oesophagus are examined.


METHODS
Between 1991 and 1996, 12 patients were operated on after initial irradiation. The reconstructions were done by a microsurgical technique, with eight jejunum transplants and four tubulated radial forearm flaps. The records were reviewed retrospectively.


RESULTS
The patients were hospitalised for about a month and were able to swallow soft food three weeks after the operation. Most patients achieved pain palliation and a good swallowing function for a period of three to more than 24 months, until relapse. All patients except two died between five and 21 months after the operation.


CONCLUSIONS
Both techniques give an acceptable swallowing function until relapse. The size of the defect indicates the choice of flap. They are also suitable in such situations as complex fistula formation, congenital atresia, and the after-effects of corrosion.
Krag
M L
ML
H:S Rigshospitalet, plastik- og brandsårskirurgisk klinik, og øre-naese-hals-kirurgisk klinik.
Andersen
M
M
Kirkegaard
J
J
D000368:Aged; D004938:Esophageal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D016629:Esophagectomy; D004945:Esophagoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D007583:Jejunum / Q000637:transplantation; D007822:Laryngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D010611:Pharyngectomy; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D017534:Radial Artery / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016038:Skin Transplantation; D013524:Surgical Flaps