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[U-shaped free jejunum transplant]

M A Germain1, M Julieron, J Trotoux

  • 1Service de Chirurgie Cervico-Faciale, Institut Gustave-Roussy, Villejuif.

Annales De Chirurgie
|February 10, 1999
PubMed
Summary
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This study shows a U-shaped jejunal transplant effectively reconstructs the oropharynx and hypopharynx after cancer surgery. This technique aids upper digestive tract reconstruction, especially for large resections involving the oropharynx.

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.

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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.