NDLI: Modified seromuscular patch flap for reinforcing an anastomosis site in hypopharyngeal reconstruction using free jejunal transfer: an anatomical and clinical study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Choi, Jaehoon Chang, Hak Minn, Kyung Won Imanishi, Nobuaki Aiso, Sadakazu Lee, Hyoun Wook
Description	Author Affiliation: Choi J ( From the *Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Republic of Korea)
Abstract	INTRODUCTION: Free jejunal transfer is commonly used as a reliable reconstructive method after total pharyngolaryngectomy. An anastomotic fistula is the most common complication in the early postoperative period, occurring in 5% to 35% of cases. There have been several studies regarding surgical techniques for minimizing fistula formation. Specifically, the vascularized seromuscular patch flap has been used for reinforcing the anastomosis site; however, this flap does not yield a sufficient range of motion because of traction on the vascular pedicle. METHODS: Between 2004 and 2011, 4 patients underwent vascularized seromuscular patch flaps with free jejunal transfer. A short segment of jejunum on a mesenteric pedicle is usually opened longitudinally along the antimesenteric border to make a patch flap; however, we made a longitudinal incision along 1 side of the mesenteric border. To investigate the vascular anatomy of the flap, a lead oxide-gelatin mixture was injected into the arterial system of 4 fresh cadavers. RESULTS: The flap had increased mobility without traction on the vascular pedicle and adequate circulation. In the injection study, it was shown that the modification guaranteed adequate circulation across the antimesenteric border and from the proximal to the distal end of the flap. CONCLUSION: In conclusion, an incision along 1 side of the mesenteric border produces increased mobility of the jejunal seromuscular patch flap. Angiography can demonstrate clear evidence of a reliable circulation.
File Format	HTM / HTML
ISSN	01487043
Issue Number	4
Volume Number	72
e-ISSN	15363708
Journal	Annals of Plastic Surgery
Language	English
Publisher	Little, Brown And Company
Publisher Date	2014-04-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Free Tissue Flaps Blood Supply Humans Treatment Outcome Transplantation Hypopharyngeal Neoplasms Aged, 80 And Over Laryngectomy Journal Article Hypopharynx Jejunum Discipline General Surgery Surgery Follow-up Studies Pharyngectomy Anastomosis, Surgical Aged Retrospective Studies Evaluation Studies Reconstructive Surgical Procedures Methods
Content Type	Text
Resource Type	Article
Subject Domain (in MeSH)	Digestive System Respiratory System Tissues Eukaryota Neoplasms Diagnosis Surgical Procedures, Operative Investigative Techniques Persons
Subject	Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Libarray of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Salvage or what follows the failure of a free jejunum transfer for reconstruction of the hypopharynx?

Dysphagia after an L-shaped reconstruction technique of the free jejunum graft.

Salvage Surgery for Recurrent Carcinoma of the Hypopharynx and Reconstruction Using Jejunal Free Tissue Transfer and Pectoralis Major Muscle Pedicled Flap

Hypopharyngeal reconstruction using remnant narrow pharyngeal wall as omega-shaped radial forearm free flap.

Laparoscopic Harvest of the Jejunal Free Flap for Reconstruction of Hypopharyngeal and Cervical Esophageal Defects

Hypopharyngeal reconstruction with an anterolateral thigh flap after laryngopharyngeal resection: results of a retrospective study on 20 patients.

P136 Free Jejunal or Ileocolic Flap Transfers as a Method of Reconstruction Following Hypopharyngeal Tumor Resection

Early prediction of anastomotic leakage after free jejunal flap reconstruction of circumferential pharyngeal defects.

Pharyngolaryngectomy using a free jejunal graft: a new anastomosis technique.

Modified seromuscular patch flap for reinforcing an anastomosis site in hypopharyngeal reconstruction using free jejunal transfer: an anatomical and clinical study.

Similar Documents

Salvage or what follows the failure of a free jejunum transfer for reconstruction of the hypopharynx?

Dysphagia after an L-shaped reconstruction technique of the free jejunum graft.

Salvage Surgery for Recurrent Carcinoma of the Hypopharynx and Reconstruction Using Jejunal Free Tissue Transfer and Pectoralis Major Muscle Pedicled Flap

Hypopharyngeal reconstruction using remnant narrow pharyngeal wall as omega-shaped radial forearm free flap.

Laparoscopic Harvest of the Jejunal Free Flap for Reconstruction of Hypopharyngeal and Cervical Esophageal Defects

Hypopharyngeal reconstruction with an anterolateral thigh flap after laryngopharyngeal resection: results of a retrospective study on 20 patients.

P136 Free Jejunal or Ileocolic Flap Transfers as a Method of Reconstruction Following Hypopharyngeal Tumor Resection

Early prediction of anastomotic leakage after free jejunal flap reconstruction of circumferential pharyngeal defects.

Pharyngolaryngectomy using a free jejunal graft: a new anastomosis technique.

Modified seromuscular patch flap for reinforcing an anastomosis site in hypopharyngeal reconstruction using free jejunal transfer: an anatomical and clinical study.