Germain M A, Julieron M, Trotoux J, Filippetti M, Santoro E, Marzetti F
Service de Chirurgie Cervico-Faciale, Institut Gustave-Roussy, Villejuif.
Ann Chir. 1998;52(10):978-82.
Reconstruction of the oro and hypopharynx has specific difficulties due to their wide diameters. Seven patients underwent reconstruction with a free U-shaped jejunal transplant, after circular pharyngolaryngectomy for hypopharyngeal cancer invading the oropharynx. This transplant included a side-to-side anastomosis between the two limbs of the jejunal loop. This transplant allowed reconstruction of the upper digestive tract after wide carcinologic resection of the pharynx. The U-shaped jejunal transplant facilitated the upper anastomosis, especially at the upper part where the resection involved the oropharynx. It formed a reservoir behind the tongue, and avoided nasal reflux. The best indications are large resections involving the oropharynx.
由于口咽和下咽直径较大，对口咽和下咽进行重建存在特定困难。7例患者在因下咽癌侵犯口咽行环状咽喉切除术后，接受了游离U形空肠移植重建术。该移植包括空肠袢两肢之间的侧侧吻合。这种移植使得在广泛的咽癌切除术后能够重建上消化道。U形空肠移植便于进行上吻合，特别是在切除累及口咽的上部。它在舌后形成一个储器，并避免鼻反流。最佳适应证是涉及口咽的大范围切除术。
