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Free jejunal interposition reconstruction after pharyngolaryngectomy: 201 consecutive cases
D R Theile1, D W Robinson, D E Theile
1Head and Neck Clinic, Princess Alexandria Hospital, Brisbane, Australia.
Head & Neck
|March 1, 1995
Summary
Free jejunal interposition offers a superior method for pharyngolaryngectomy reconstruction, demonstrating low complication rates and excellent long-term outcomes for patients requiring tubular defect repair.
Area of Science:
- Surgical reconstruction
- Otolaryngology
- Microsurgery
Background:
- Pharyngolaryngectomy often necessitates complex reconstructive surgery.
- Traditional methods carry high risks of morbidity and mortality.
Purpose of the Study:
- To evaluate the efficacy of free jejunal interposition for pharyngolaryngectomy reconstruction.
- To assess complication rates and long-term patient outcomes.
Main Methods:
- Prospective documentation of 201 consecutive free jejunal interpositions.
- Analysis of operative details, complications, and functional outcomes.
Main Results:
- Low perioperative mortality (4.5%) and high microvascular success (97%).
- Patients achieved early swallowing (11 days avg.) and maintained nutrition (92%).
- Low complication rates in the neck (17%) and abdomen (2.5%), with no issues of mucus or reflux.
Conclusions:
- Free jejunal interposition is a safe and effective reconstruction method.
- It presents a preferred alternative to other published techniques for pharyngolaryngectomy defects.