Pseudoaneurysm after total pharyngolaryngectomy with jejunal graft insertion: two different presentations.
Pharyngeal reconstruction after total pharyngolaryngectomy using a jejunal graft is now a common procedure in head and neck oncological surgery. The vascular supply of this graft comes from the anastomosis between a branch of the mesentric artery and a branch of the external carotid artery. We report two cases of pseudoaneurysm, one at the site of ligation of the lingual artery and the other at the site of arterial anastomosis. One presented with dramatic hematemesis and was managed by the interventional radiologist, and the second presented with a pulsating neck mass and required a surgical revision. In both cases, the jejunal graft survived.
Alaani
A
A
ENT Department, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK. alaani1@hotmail.com
Hogg
R
R
Minhas
S S
SS
Jennings
C
C
Johnson
A P
AP
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005145:Face / Q000098:blood supply*; D005260:Female; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects*; D008638:Mesenteric Arteries / Q000601:surgery*; D010610:Pharyngeal Neoplasms / Q000601:surgery; D010611:Pharyngectomy / Q000009:adverse effects*; D015607:Stents