title: Free jejunal patch graft for reconstruction after partial hypopharyngectomy with laryngeal preservation.
abstract: OBJECTIVE
  To examine postoperative complications and swallowing function associated with free jejunal patch graft transfer after partial hypopharyngectomy with laryngeal preservation.
  
  
  METHODS
  Retrospective medical record review.
  
  
  METHODS
  Academic research.
  
  
  METHODS
  A consecutive series of 43 patients who underwent free jejunal patch graft transfer after partial hypopharyngectomy with laryngeal preservation composed the study sample. They represented the following 3 groups based on the type of hypopharyngeal defect: 13 patients with defects of the posterior wall (PW group), 28 patients with defects extending to the unilateral piriform sinus (PS-PW group), and 2 patients with defects extending to the bilateral piriform sinuses (PS-PS group).
  
  
  METHODS
  Postoperative complications and oral intake ability were compared among the groups.
  
  
  RESULTS
  Except for 1 patient, all the patients in the PW and PS-PS groups resumed oral intake within 2 weeks after surgery. Four patients in the PS-PW group had severe dysphagia, 2 of whom could not discontinue tube feeding.
  
  
  CONCLUSIONS
  Free jejunal patch graft transfer after partial hypopharyngectomy allows satisfactory swallowing function, with a low complication rate. Postoperative dysphagia was slightly more common in the PS-PW group than in the PW group.
authors.affiliation: Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577, Japan. shimiyam@ncc.go.jp
authors.forename: Shimpei
authors.initials: S
authors.lastname: Miyamoto
authors.forename: Minoru
authors.initials: M
authors.lastname: Sakuraba
authors.forename: Takayuki
authors.initials: T
authors.lastname: Asano
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Hayashi
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Ebihara
authors.forename: Masakazu
authors.initials: M
authors.lastname: Miyazaki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Daiko
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shinozaki
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kimata
mesh_terms: D002277:Carcinoma / Q000601:surgery; D003679:Deglutition; D003680:Deglutition Disorders / Q000209:etiology; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007013:Hypopharynx / Q000601:surgery*; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies