[U-shaped free jejunum transplant]

Area of Science:

• Surgical Oncology
• Gastrointestinal Surgery
• Head and Neck Surgery

Context:

• Reconstruction of the oropharynx and hypopharynx presents challenges due to wide diameters.
• Hypopharyngeal cancer invading the oropharynx requires extensive surgical resection.

Purpose:

• To evaluate the efficacy of a free U-shaped jejunal transplant for oropharyngeal and hypopharyngeal reconstruction.
• To assess the technique's suitability for large oncologic resections.

Summary:

• Seven patients underwent circular pharyngolaryngectomy for advanced hypopharyngeal cancer with oropharyngeal invasion.
• A free U-shaped jejunal graft with a side-to-side anastomosis between its limbs was used for reconstruction.
• The U-shaped graft facilitated superior anastomosis and created a pharyngeal reservoir, preventing nasal reflux.

Impact:

• The U-shaped jejunal transplant is a viable option for complex oropharyngeal and hypopharyngeal reconstruction.
• This technique is particularly beneficial for patients requiring extensive oncologic resection of the pharynx.
• The method improves functional outcomes by aiding reconstruction and preventing complications like nasal reflux.