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Erschienen in: European Archives of Oto-Rhino-Laryngology 7/2012

01.07.2012 | Head and Neck

A “watch window” technique for monitoring buried free jejunum flaps during circumferential pharyngolaryngectomy reconstruction

verfasst von: Quan Li, Xin-Rui Zhang, Xue-Kui Liu, Zhi-Gang Zhang, Wei-Wei Liu, Hao Li, Zhu-Ming Guo

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 7/2012

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Abstract

The free jejunum flap approach is the optimal option for circumferential pharyngolaryngectomy reconstruction. In this study, we designed a “watch window” for monitoring buried free jejunum flaps, thereby allowing us to assess graft viability. From 2007 to 2011, 14 patients with hypopharyngeal cancer underwent circumferential pharyngolaryngectomy that was reconstructed using a free jejunum flap at the Sun Yat-sen University Cancer Centre. During the closing of the neck incision, a “watch window” was designed for postoperative monitoring. Two patients experienced thrombosis of the pedicle. One was detected early and successfully rescued by removal of the thrombosis, the other one managed with a second free jejunum flap. The success rate of the buried flaps was 92.9%. No pharyngocutaneous fistulas or strictures occurred. All patients eventually resumed oral feeding and swallowing. The “watch window” technique for monitoring buried free jejunum flaps is simple, reliable and useful for finding vascular problems. Level of evidence Case series
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Metadaten
Titel
A “watch window” technique for monitoring buried free jejunum flaps during circumferential pharyngolaryngectomy reconstruction
verfasst von
Quan Li
Xin-Rui Zhang
Xue-Kui Liu
Zhi-Gang Zhang
Wei-Wei Liu
Hao Li
Zhu-Ming Guo
Publikationsdatum
01.07.2012
Verlag
Springer-Verlag
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 7/2012
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-011-1851-0

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