Total extrathoracic neoesophageal construction by combined cutaneous and myoepithelial flaps

A previously unreported low-morbidity staged procedure for the extrathoracic construction of neoesophagus employing a combination of skin-lined cutaneous an myoepithelial flaps is proposed as an adjunct to, or as a primary method for, the surgeon confronted with the problem of restoring the continuity of the food passage, which follows thoracic esophageal resection. The case report does not mean to imply or convey the impression that this procedure is a first-line method. Rather, it is offered as an alternative or adjunct in those instances in which customary and accepted techniques cannot be executed, as in this presentation.