Free jejunal patch graft for reconstruction after partial hypopharyngectomy with laryngeal preservation

Shimpei Miyamoto, Minoru Sakuraba, Takayuki Asano, Ryuichi Hayashi, Mitsuru Ebihara, Masakazu Miyazaki, Hiroyuki Daiko, Takeshi Shinozaki, Yoshihiro Kimata

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objectives: To examine postoperative complications and swallowing function associated with free jejunal patch graft transfer after partial hypopharyngectomy with laryngeal preservation. Design: Retrospective medical record review. Setting: Academic research. Patients: A consecutive series of 43 patients who underwent free jejunal patch graft transfer after partial hypopharyngectomy with laryngeal preservation composed the study sample. They represented the following 3 groups based on the type of hypopharyngeal defect: 13 patients with defects of the posterior wall (PW group), 28 patients with defects extending to the unilateral piriform sinus (PS-PW group), and 2 patients with defects extending to the bilateral piriform sinuses (PS-PS group). Main Outcome Measures: Postoperative complications and oral intake ability were compared among the groups. Results: Except for 1 patient, all the patients in the PW and PS-PS groups resumed oral intake within 2 weeks after surgery. Four patients in the PS-PW group had severe dysphagia, 2 of whom could not discontinue tube feeding. Conclusions: Free jejunal patch graft transfer after partial hypopharyngectomy allows satisfactory swallowing function, with a low complication rate. Postoperative dysphagia was slightly more common in the PS-PW group than in the PW group.

Original languageEnglish
Pages (from-to)181-186
Number of pages6
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume137
Issue number2
DOIs
Publication statusPublished - Feb 2011

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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