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 language | English |
|---|---|
| Pages (from-to) | 181-186 |
| Number of pages | 6 |
| Journal | Archives of Otolaryngology - Head and Neck Surgery |
| Volume | 137 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2011 |
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ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery
Cite this
Free jejunal patch graft for reconstruction after partial hypopharyngectomy with laryngeal preservation. / Miyamoto, Shimpei; Sakuraba, Minoru; Asano, Takayuki; Hayashi, Ryuichi; Ebihara, Mitsuru; Miyazaki, Masakazu; Daiko, Hiroyuki; Shinozaki, Takeshi; Kimata, Yoshihiro.
In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 137, No. 2, 02.2011, p. 181-186.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Free jejunal patch graft for reconstruction after partial hypopharyngectomy with laryngeal preservation
AU - Miyamoto, Shimpei
AU - Sakuraba, Minoru
AU - Asano, Takayuki
AU - Hayashi, Ryuichi
AU - Ebihara, Mitsuru
AU - Miyazaki, Masakazu
AU - Daiko, Hiroyuki
AU - Shinozaki, Takeshi
AU - Kimata, Yoshihiro
PY - 2011/2
Y1 - 2011/2
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=79952032480&partnerID=8YFLogxK
U2 - 10.1001/archoto.2010.245
DO - 10.1001/archoto.2010.245
M3 - Article
C2 - 21339406
AN - SCOPUS:79952032480
VL - 137
SP - 181
EP - 186
JO - JAMA Otolaryngology - Head and Neck Surgery
JF - JAMA Otolaryngology - Head and Neck Surgery
SN - 2168-6181
IS - 2
ER -