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Reconstruction of the pharynx after laryngectomy and partial pharyngectomy

Published online by Cambridge University Press:  29 June 2007

N. D. Stafford  and
R. N. Matthews
N. D. Stafford*
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3.
R. N. Matthews
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3.
*
N. Stafford, St. Mary's Hospital, Praed Street, London W2 INY.
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Abstract

Stricture formation may occur after pharyngolaryngectomy it less than one half of the circumference of the pharynx is available for primary closure. However, the alternative of total pharyngectomy with skin flap or visceral replacement carries with it a high mortality and morbidity rate. In an attempt to overcome these problems, a policy of patch grafting the paryngeal defect with a myocutaneous flap or segment of free vascularised jejunum has been adopted whenever a strip of pharyngeal mucosa greater than one centimetre in width remains after excision of the tumour. A good post-operative smallow has been achieved in all cases.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 1 , January 1988 , pp. 45 - 48
Copyright
Copyright © JLO (1984) Limited 1988

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