Related Experiment Videos
[Plastic surgery of the pharynx and cervical esophagus using a revascularized intestinal segment in children]
Insights
Segmental plasty using intestinal segments effectively treats cervical esophageal stenosis in children. Pharyngeal reconstruction presents unique challenges for restoring both swallowing and breathing.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Otolaryngology
Background:
- Cicatricial stenosis of the pharynx and cervical esophagus in children presents significant challenges.
- Surgical reconstruction is often necessary to restore function.
Observation:
- Three pediatric patients with isolated pharyngeal and cervical esophageal cicatricial stenosis underwent segmental plasty.
- A free intestinal segment (jejunum or sigmoid) was used for reconstruction.
- Anastomosis was performed with the carotid artery and internal jugular vein under magnification.
Findings:
- The study demonstrated high effectiveness of segmental plasty for cervical esophageal stenosis.
- No intraoperative or postoperative complications were reported in the cases.
- Restoring pharyngeal breathing, in addition to swallowing, complicates pharyngeal reconstruction.
Implications:
- Segmental plasty is a viable and effective surgical option for pediatric cervical esophageal stenosis.
- Further research is needed to optimize pharyngeal reconstruction techniques in children.
- This approach holds promise for improving quality of life in affected children.
Abstract:
Three children with isolated cicatricial stenosis of the pharynx and cervical esophagus were subjected to operation for segmental plasty with a free intestinal segment (2 jejunal and one sigmoid). In all cases the segment was anastomosed with the side of the carotid and internal jugular vein on the neck under 3.2 magnification. No complications occurred. The results of the operation showed a high effectiveness of segmental plasty in stenosis of the cervical esophagus. In cicatricial stenosis of the pharynx, in addition to restoration of normal deglutition, breathing through the pharynx must be fully restored, which makes segmental reconstruction of the pharynx in children more difficult.