title: [Free jejunum reconstruction and laryngeal preservation for squamous cell carcinoma in the pharyngoesophageal junction].
abstract: OBJECTIVE
  Try to use free jejunum flaps reconstruction and laryngeal preservation for squamous cell carcinoma (SCC) in the pharyngoesophageal junction.
  
  
  METHODS
  Thirteen patients who underwent resections of SCC in the pharyngoesophageal junction with free jejunal interposition from August 2007 to December 2012 were reviewed. Of them, 8 had T3 lesions, 4 had T4 lesions, and one had radiation failure with rT2 lesion. Ten patients were treated with postoperative radiotherapy with a average dosage of 56 Gy.
  
  
  RESULTS
  The 3 year over all survival rate was 47.9% and disease-specific survival rate was 34.2%. The surgical complications occurred in 9 patients (9/13), including one death and one flap failure. Five patients (5/13) had permanent tracheal canulation, 10 patients (10/13) resumed oral feeding and all patients achieved reasonable speech.
  
  
  CONCLUSIONS
  Free jejunum interposition can be used to reconstruct surgical defect of SCC in the pharyngoesophageal junction, thus preserving the larynx and ensuring a better quality of life for the patients.
authors.affiliation: Department of Head and Neck Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China. Email: docbinzhang@hotmail.com.
authors.forename: Bin
authors.initials: B
authors.lastname: Zhang
authors.forename: Jiping
authors.initials: J
authors.lastname: Su
authors.forename: Jichun
authors.initials: J
authors.lastname: Yu
authors.forename: Zhenhua
authors.initials: Z
authors.lastname: Wu
authors.forename: Zhixing
authors.initials: Z
authors.lastname: Feng
mesh_terms: D000714:Anastomosis, Surgical; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004947:Esophagus; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D007830:Larynx; D007831:Larynx, Artificial; D009333:Neck; D011183:Postoperative Complications; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D015996:Survival Rate