Reconstruction challenge--combined use of pectoralis major and gastric pull-up flaps for massive naso-oropharyngeal/oesophageal defects.
Massive defects of the upper aerodigestive tract present a reconstructive challenge. We report a case in which a large defect of the naso-oropharyngeal and oesophagus was reconstructed with a combination of a gastric pull-up and a pectoralis major muscle flap. Postoperative function was good and survival was in excess of 16 months. The history of such reconstructions and possible alternative techniques are also discussed.
To
Edward W H
EW
Division of Head and Neck Surgery, Department of Surgery,The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong. edwardtowh@yahoo.com
Tsang
W M
WM
Williams
Michael D
MD
Pang
Peter C W
PC
Cheng
Jack H H
JH
Chan
Angus C W
AC
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000601:surgery*; D009959:Oropharyngeal Neoplasms / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps