title: Transplant-related experience in pharyngo-oesophageal reconstruction: use of organ preservation techniques to improve ischaemic tolerance in free jejunal flaps.
abstract: Reconstruction of pharyngo-oesophageal defects remains a surgical challenge. Free jejunal flaps, first described by Seidenberg in 1959, are used to reconstruct circumferential defects, but their main disadvantage is sensitivity to ischaemia. Others are secretions, an unpleasant smell, and problems at the donor site. To improve the tolerance of the jejunal segment to ischaemia and to give the surgeon more time, we cool it after harvest and flush it with organ preservation fluid. We describe the technique in a small case series of seven patients.
authors: Specialist Trainee, Kent Surrey Sussex Deanery, Oral & Maxillo-Facial Surgery Training Programme. Electronic address: kmt@doctors.org.uk.
authors: Kemal M
authors: KM
authors: Tekeli
authors: Consultant, Department of Oral & Maxillofacial Surgery, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, Kent.
authors: Jeremy
authors: J
authors: McKenzie
authors: Consultant, Department of Oral & Maxillofacial Surgery, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, Kent.
authors: Nicholas M
authors: NM
authors: Goodger
authors: Consultant, Department of Oral & Maxillofacial Surgery, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, Kent.
authors: Christopher W
authors: CW
authors: Hendy
mesh_terms: D000368:Aged; D004947:Esophagus / Q000601:surgery*; D058752:Free Tissue Flaps; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007583:Jejunum / Q000098:blood supply / Q000637:transplantation*; D008875:Middle Aged; D009926:Organ Preservation / Q000379:methods*; D010614:Pharynx / Q000601:surgery*; D052096:Warm Ischemia
keywords: Free jejunal flaps; Organ preservation fluid; Pharyngo-oesophageal reconstruction; Warm ischaemia