title: Reconstruction challenge--combined use of pectoralis major and gastric pull-up flaps for massive naso-oropharyngeal/oesophageal defects.
abstract: 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.
authors.affiliation: Division of Head and Neck Surgery, Department of Surgery,The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong. edwardtowh@yahoo.com
authors.forename: Edward W H
authors.initials: EW
authors.lastname: To
authors.forename: W M
authors.initials: WM
authors.lastname: Tsang
authors.forename: Michael D
authors.initials: MD
authors.lastname: Williams
authors.forename: Peter C W
authors.initials: PC
authors.lastname: Pang
authors.forename: Jack H H
authors.initials: JH
authors.lastname: Cheng
authors.forename: Angus C W
authors.initials: AC
authors.lastname: Chan
mesh_terms: 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