[Surgical management of benign pharyngo-esophageal stenosis].
OBJECTIVE
To study the methods and outcome of surgical management for pharyngo-esophageal stenosis.


METHODS
Twenty-seven patients with pharyngo-esophageal stenosis from January 1983 to June 2001 were reviewed. Among 27 cases, there were 12 cases accompanied with laryngeal stenosis and one case accompanied with tracheal stenosis. In terms of etiological factor, all patients were cataloged into two groups, i.e. 25 cases with chemo-causis and 2 cases with trauma. The repair methods included colon interposition in 20 patients, free jejunum transplantation in 6 patients and pectoralis major muculocutaneous flap in 1 patient. In total 12 cases of laryngeal stenosis, sternohyoid myofascial flap was applied in 8 cases, and sternohyoid myofascial flap and epiglottis were applied in 4 cases.


RESULTS
Swallow function recovered in 25 cases and failed in 2 cases. Laryngeal function recovered totally in 10 patients and partially in 2 patients with laryngeal stenosis. The patient with tracheal stenosis recovered and decannulated.


CONCLUSIONS
According to the foci of pharyngo-esophageal stenosis, the colon interposition, the free jejunum transplantation and the pectoralis major myocutaneous flap can be applied respectively to restore normal physiological function.
Pan
Xin-liang
XL
Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Jinan 250012, China. panxinl@yahoo.com.cn
Lei
Da-peng
DP
Xu
Feng-lei
FL
Zhang
Li-qiang
LQ
Liu
Da-yu
DY
Luan
Xin-yong
XY
Xie
Guang
G
Wang
Tian-duo
TD
Cong
Bo
B
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003679:Deglutition; D004940:Esophageal Stenosis / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D006801:Humans; D007829:Laryngostenosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000601:surgery; D010608:Pharyngeal Diseases / Q000601:surgery*; D013524:Surgical Flaps