HNO · 2002
[Pharyngeal reconstruction after salvage pharyngolaryngectomy in recurrent tumors].
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Baumann I, Maassen M M, Plinkert P K, Zenner H P
Аннотация
BACKGROUND: Total pharyngeal reconstruction after salvage pharyngolarynectomy in recurrent tumors after primary surgery or radiation therapy may be performed by ENT surgeons in the oncologic field.
PATIENTS: We report on six patients that underwent salvage pharyngolaryngectomy and total pharyngeal reconstruction.
METHODS: In three cases pharyngeal reconstruction was performed as a two-stage procedure with deltopectoral flaps. One of these patients died before the completion of reconstruction. In three other patients the reconstruction was performed with a tubed pectoralis major myocutaneous flap including one patient after a failed reconstruction with a jejunum segment. or fistula prevention we applied silicon stents in three patients and self-expanding Nitinol stents in three other patients.
RESULTS: Of five successfully reconstructed patients two fed orally, one fed combined orally and via PEG and two fed via PEG.
CONCLUSIONS: Summarizing our experiences the use of silicon tubes and nitinol stents has proved its worth. Experiences with a larger number of patients must be collected in the future.
PATIENTS: We report on six patients that underwent salvage pharyngolaryngectomy and total pharyngeal reconstruction.
METHODS: In three cases pharyngeal reconstruction was performed as a two-stage procedure with deltopectoral flaps. One of these patients died before the completion of reconstruction. In three other patients the reconstruction was performed with a tubed pectoralis major myocutaneous flap including one patient after a failed reconstruction with a jejunum segment. or fistula prevention we applied silicon stents in three patients and self-expanding Nitinol stents in three other patients.
RESULTS: Of five successfully reconstructed patients two fed orally, one fed combined orally and via PEG and two fed via PEG.
CONCLUSIONS: Summarizing our experiences the use of silicon tubes and nitinol stents has proved its worth. Experiences with a larger number of patients must be collected in the future.
Предметные рубрики MeSH
AdultCarcinoma, Squamous CellFemaleFollow-Up StudiesHumansHypopharyngeal NeoplasmsLaryngeal NeoplasmsLaryngectomyMaleMicrosurgeryMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingOropharyngeal NeoplasmsPharyngectomyPharynxPostoperative ComplicationsReoperationSalvage TherapyStentsSurgical FlapsTomography, X-Ray Computed