Sokoya Mofiyinfolu, Bahrami Arash, Vincent Aurora, Inman Jared, Mourad Moustafa, Sawhney Raja, Ducic Yadranko
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
Department of Otolaryngology Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.
Semin Plast Surg. 2019 Feb;33(1):78-80. doi: 10.1055/s-0039-1677877. Epub 2019 Mar 8.
Reconstruction of pharyngoesophageal defects after total laryngectomies and extirpation of hypopharyngeal and upper esophageal carcinomas presents a challenging task. Goals of reconstruction include adequate voice rehabilitation and restoration of normal swallowing. The reconstructive armamentarium contains many options for reconstruction and creation of a new upper digestive tract. This review article focuses on the most commonly used free tissue transfer options for the reconstruction of these defects, with an assessment of their advantages and disadvantages.
全喉切除术后以及下咽和上段食管癌切除术后咽食管缺损的重建是一项具有挑战性的任务。重建的目标包括充分的嗓音康复和正常吞咽功能的恢复。重建的手段包括多种用于重建和创建新的上消化道的选择。这篇综述文章重点关注这些缺损重建中最常用的游离组织移植选择,并评估其优缺点。