Head & neck · 2009
Morbidity and functional outcomes following gastro-omental free flap reconstruction of circumferential pharyngeal defects.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Patel Rajan S, Makitie Antti A, Goldstein David P, Gullane Patrick J, Brown Dale, Irish Jonathan, Gilbert Ralph W
Аннотация
BACKGROUND: In patients with extensive soft tissue fibrosis requiring circumferential pharyngeal reconstruction following definitive radiotherapy and/or chemotherapy, we take advantage of abundant omental progenitor factors in the tubed gastro-omental free flap. This study reviews our experience with this flap.
METHODS: Review of 11 patients (median follow-up, 2.8 years) undergoing total pharyngolaryngectomy following organ preservation protocols for recurrent squamous cell carcinoma (n = 9) and stricture (n = 2).
RESULTS: Operative morbidity and mortality rates were 54% and 9%, respectively. One patient died following carotid rupture. Complications included: chyle leak (18%), pharyngocutaneous fistula (9%), and late stricture (27%). Ten patients (91%) achieved oral diet, and all 7 patients (100%) considered suitable for tracheoesophageal speech rehabilitation achieved functional speech. Seven patients remain alive without disease at a median of 41 months following surgery.
CONCLUSIONS: The gastro-omental flap provides a viable option in high-risk patients undergoing circumferential pharyngeal reconstruction.
METHODS: Review of 11 patients (median follow-up, 2.8 years) undergoing total pharyngolaryngectomy following organ preservation protocols for recurrent squamous cell carcinoma (n = 9) and stricture (n = 2).
RESULTS: Operative morbidity and mortality rates were 54% and 9%, respectively. One patient died following carotid rupture. Complications included: chyle leak (18%), pharyngocutaneous fistula (9%), and late stricture (27%). Ten patients (91%) achieved oral diet, and all 7 patients (100%) considered suitable for tracheoesophageal speech rehabilitation achieved functional speech. Seven patients remain alive without disease at a median of 41 months following surgery.
CONCLUSIONS: The gastro-omental flap provides a viable option in high-risk patients undergoing circumferential pharyngeal reconstruction.
Предметные рубрики MeSH
AgedCarcinoma, Squamous CellConstriction, PathologicDeglutitionFemaleFistulaFollow-Up StudiesGastric MucosaGastric Outlet ObstructionHematomaHernia, AbdominalHumansHypopharyngeal NeoplasmsLaryngeal NeoplasmsLaryngectomyLarynx, ArtificialLength of StayMaleMiddle AgedNeoplasm Recurrence, LocalOmentumPharynxPostoperative ComplicationsPulmonary EmbolismSalvage TherapySpeechSurgical FlapsSurgical Wound Dehiscence