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Reconstructive Trends in Post-Ablation Patients with Esophagus and Hypopharynx Defect
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논문 기본 정보

Type
Academic journal
Author
Ki, Sae Hwi (Department of Plastic Surgery, Inha University School of Medicine) Choi, Jong Hwan (Department of Plastic Surgery, Inha University Hospital) Sim, Seung Hyun (Inha University Hospital)
Journal
대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제16권 제3호 SCOPUS
Published
2015.1
Pages
105 - 113 (9page)

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Reconstructive Trends in Post-Ablation Patients with Esophagus and Hypopharynx Defect
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The main challenge in pharyngoesophageal reconstruction is the restoration of swallow and speech functions. The aim of this paper is to review the reconstructive options and associated complications for patients with head and neck cancer. A literature review was performed for pharynoesophagus reconstruction after ablative surgery of head and neck cancer for studies published between January 1980 to July 2015 and listed in the PubMed database. Search queries were made using a combination of 'esophagus' and 'free flap', 'microsurgical', or 'free tissue transfer'. The search query resulted in 123 studies, of which 33 studies were full text publications that met inclusion criteria. Further review into the reference of these 33 studies resulted in 15 additional studies to be included. The pharyngoesophagus reconstruction should be individualized for each patient and clinical context. Fasciocutaneous free flap and pedicled flap are effective for partial phayngoesophageal defect. Fasciocutaneous free flap and jejunal free flap are effective for circumferential defect. Pedicled flaps remain a safe option in the context of high surgical risk patients, presence of fistula. Among free flaps, anterolateral thigh free flap and jejunal free flap were associated with superior outcomes, when compared with radial forearm free flap. Speech function is reported to be better for the fasciocutaneous free flap than for the jejunal free flap.
#Esophagus #Reconstruction #Free tissue transfer #Cancer #Review

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