Combined use of free jejunum and pectoralis major muscle flap with skin graft for reconstruction after salvage total pharyngolaryngectomy

Shimpei Miyamoto, Minoru Sakuraba, Shogo Nagamatsu, Kenichi Kamizono, Masahide Fujiki, Ryuichi Hayashi

研究成果: ジャーナルへの寄稿評論記事

12 引用 (Scopus)

抄録

Salvage total pharyngolaryngectomy after failed organ-preserving therapy often results in composite defects involving the alimentary tract, trachea, and neck skin. This retrospective study examined combined use of the free jejunum flap and the pectoralis major muscle flap with skin graft for such a complex reconstruction. We reviewed 11 patients who underwent free jejunum transfer for alimentary reconstruction and pedicled pectoralis major muscle flap transfer with a skin graft on the muscle for simultaneous neck skin resurfacing after salvage total pharyngolaryngectomy from 2005 through 2010. The operative morbidity rate was 27.3%. No pharyngocutaneous fistula developed in this series. Oral intake could be resumed within 3 weeks after surgery in all patients. Seven of 11 patients had a functional tracheostoma with adequate stomal patency. Combined use of free jejunum and pectoralis major muscle flap with skin graft provided secure wound closure even for complicated cases.

元の言語英語
ページ(範囲)119-124
ページ数6
ジャーナルMicrosurgery
33
発行部数2
DOI
出版物ステータス出版済み - 2 1 2013

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Pectoralis Muscles
Jejunum
Transplants
Skin
Neck Muscles
Free Tissue Flaps
Trachea
Fistula
Neck
Retrospective Studies
Morbidity
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Combined use of free jejunum and pectoralis major muscle flap with skin graft for reconstruction after salvage total pharyngolaryngectomy. / Miyamoto, Shimpei; Sakuraba, Minoru; Nagamatsu, Shogo; Kamizono, Kenichi; Fujiki, Masahide; Hayashi, Ryuichi.

:: Microsurgery, 巻 33, 番号 2, 01.02.2013, p. 119-124.

研究成果: ジャーナルへの寄稿評論記事

Miyamoto, Shimpei ; Sakuraba, Minoru ; Nagamatsu, Shogo ; Kamizono, Kenichi ; Fujiki, Masahide ; Hayashi, Ryuichi. / Combined use of free jejunum and pectoralis major muscle flap with skin graft for reconstruction after salvage total pharyngolaryngectomy. :: Microsurgery. 2013 ; 巻 33, 番号 2. pp. 119-124.
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AU - Nagamatsu, Shogo

AU - Kamizono, Kenichi

AU - Fujiki, Masahide

AU - Hayashi, Ryuichi

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