Free jejunum reconstruction and laryngeal preservation for squamous cell carcinoma in the pharyngoesophageal junction

Try to use free jejunum flaps reconstruction and laryngeal preservation for squamous cell carcinoma (SCC) in the pharyngoesophageal junction. Thirteen patients who underwent resections of SCC in the pharyngoesophageal junction with free jejunal interposition from August 2007 to December 2012 were re...

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Published inZhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery Vol. 49; no. 7; p. 543
Main Authors Zhang, Bin, Su, Jiping, Yu, Jichun, Wu, Zhenhua, Feng, Zhixing
Format Journal Article
LanguageChinese
Published China 01.07.2014
Subjects
Anastomosis, Surgical
Carcinoma, Squamous Cell - surgery
Esophagus
Humans
Jejunum - surgery
Larynx
Larynx, Artificial
Neck
Postoperative Complications
Quality of Life
Reconstructive Surgical Procedures - methods
Surgical Flaps
Survival Rate
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Summary:Try to use free jejunum flaps reconstruction and laryngeal preservation for squamous cell carcinoma (SCC) in the pharyngoesophageal junction. Thirteen patients who underwent resections of SCC in the pharyngoesophageal junction with free jejunal interposition from August 2007 to December 2012 were reviewed. Of them, 8 had T3 lesions, 4 had T4 lesions, and one had radiation failure with rT2 lesion. Ten patients were treated with postoperative radiotherapy with a average dosage of 56 Gy. The 3 year over all survival rate was 47.9% and disease-specific survival rate was 34.2%. The surgical complications occurred in 9 patients (9/13), including one death and one flap failure. Five patients (5/13) had permanent tracheal canulation, 10 patients (10/13) resumed oral feeding and all patients achieved reasonable speech. Free jejunum interposition can be used to reconstruct surgical defect of SCC in the pharyngoesophageal junction, thus preserving the larynx and ensuring a better quality of life for the patients.
ISSN:1673-0860