Reconstructive surgery of pharyngo-cutaneous, and esophago-cutaneous fistulae.

概要

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The management and reconstruction of pharyngo-cutaneous, and esophago-cutaneous fistulae after head and neck cancer surgery are most important and difficult problems. Various kinds of flaps, such as local flaps, distant pedicled flaps and myocutaneous flaps have been used in primary and staged pharyngo-esophageal reconstructions.In most cases of head and neck cancer, preoperative and postoperative irradiation therapy is required. It is well known that reconstructive surgery is very difficult after full dose irradiation, which leads to postoperative complications.We use delto-pectral flaps and free skin grafts in two cases of esophago-cutaneous fistula, and the postoperative course was satisfactory. These patients are described, and the technical aspects and the results of treatment are discussed.
耳鼻咽喉科臨床学会の論文