title: [Reconstruction of the esophagus with plastic surgery techniques].
abstract: BACKGROUND
  Various plastic surgery techniques were applied for oesophageal reconstruction in complicated cases. Myocutaneous flaps that are suitable to cover soft tissue defects of the neck may also be transferred and used for partial defects of the cervical oesophagus or securing a vulnerable suture line. Application of microsurgical techniques may also be useful in certain situations.
  
  
  METHODS
  Pectoralis major myocutaneous flap was used in 5 cases in our department between 1998 and 2012. Microsurgical techniques were used in 38 cases of esophageal reconstruction, which were 34 free jejunal grafts and 4 supercharged colon grafts.
  
  
  RESULTS
  23 patients underwent primary reconstruction after pharyngolaryngectomy, while 15 patients had secondary reconstruction after failed previous operations or recurrence. When more experienced was gained free jejunal grafts were used for the cervical as well as thoracic oesophagus. Three grafts were lost, two of them were due to anastomotic thrombosis and one was due to severe MRSA wound infection.
  
  
  CONCLUSIONS
  Complicated cases of oesophagus reconstructions may be successfully treated by the cooperation of oesophagus and plastic surgeons, which may result in an acceptable complication rate.
authors.affiliation: Pécsi Tudományegyetem Klinikai Központ, Sebészeti Klinika 7624 Pécs Rákóczi u. pavlovics.gabor@pte.hu
authors.forename: Gábor
authors.initials: G
authors.lastname: Pavlovics
authors.forename: László
authors.initials: L
authors.lastname: Cseke
authors.forename: András
authors.initials: A
authors.lastname: Papp
authors.forename: Ors Péter
authors.initials: OP
authors.lastname: Horváth
mesh_terms: D000368:Aged; D003106:Colon / Q000637:transplantation; D016629:Esophagectomy / Q000379:methods*; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D041981:Gastrointestinal Tract / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D007583:Jejunum / Q000637:transplantation; D007825:Laryngectomy; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D009333:Neck; D010611:Pharyngectomy; D013270:Stomach / Q000637:transplantation; D013524:Surgical Flaps / Q000098:blood supply*