[Surgical management of carcinoma of the hypopharynx and cervical esophagus].

OBJECTIVE

To report our experience in reconstructing hypopharynx and cervical esophagus with four kinds of operations.

METHOD: Twenty one patients underwent reconstruction of the hypopharyngeal and cervical esophagus defect using contralateral hemilaryngeal mucosa flap, pectoralis major myocutaneous flap, forearm free flap and jejunal free flap.

RESULT: All of cases were successful. Postoperative pharyngocutaneous fistulas occurred in two patients, which resolved spontaneously. All of patients can swallow ordinary food and had no benign strictures after operation.

CONCLUSION

Every operation style has advantage and disadvantage. We had to select the operation of choice depending upon the location and size of the carcinoma, perioperative complication.