Free microvascular transfer of the reverse ileo-colon flap with ileocaecal valve valvuloplasty for reconstruction of a pharyngoesophageal defect: Indication and usage of the 'funnel flap'.
The authors have designed a method of reconstruction for high pharyngeal and oesophageal defects that potentially avoids many of the disadvantages related to size mismatch at the proximal and distal end of oesophageal defects that are encountered with the use of free jejunal and colon flaps, respectively. An ileo-colon flap was used to reconstruct this type of defect where the ascending colon was anastomosed to the pharyngeal end and the ileum was anastomosed to the oesophageal end. Both sides were perfectly matched in circumference and minimal manipulation was necessary at both ends of the flap. A detailed description of the surgical technique is depicted and a case presented. While this procedure solves some of the problems encountered when dealing with this type of defect, it nevertheless does have some disadvantages and technical nuisances that are detailed and discussed in this report.
Mardini
Samir
S
Department of Plastic and Reconstructive Surgery, E-Da Hospital/I-Shou University, 1, E-Da Road, Jiau-shu Tsuen, Yan-chau Shiang, Kaohsiung County 824, Taiwan, ROC.
Chen
Hung-Chi
HC
Salgado
Christopher J
CJ
Ozkan
Omer
O
Cigna
Emanuele
E
Chung
Tsung-Te
TT
D003106:Colon / Q000637:transplantation*; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007080:Ileocecal Valve / Q000637:transplantation; D007082:Ileum / Q000637:transplantation*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012039:Regional Blood Flow; D013524:Surgical Flaps / Q000098:blood supply*