Analysis of recurrence, complications, and functional results with free jejunal flaps.

Published

Journal Article

The medical records of 20 patients undergoing revascularized jejunal flap reconstruction of hypopharyngeal defects were retrospectively reviewed to analyze the incidence of distal marginal recurrence, complication rates, and success of early functional restoration. This report is one of few in the literature to address distal marginal recurrence in patients undergoing jejunal free flap reconstruction of hypopharyngeal defects. In 15 evaluable patients, two (13%) developed distal marginal recurrences. Both patients had tumor involving the hypopharynx at the junction of the cervical esophagus. The major complication rate was five of 20 patients (25%) and included three flap failures, one death, and one intra-abdominal hemorrhage. The minor complication rate was 35%. The median hospital stay was 15.5 days and the median time to successful swallowing was 14.5 days. The functional success rate for swallowing was 58%. Because of the aggressive nature of this disease, we feel partial esophagectomy with jejunal flap reconstruction is warranted to achieve early functional restoration in a select group of patients when a 2-cm distal margin can be obtained above the cervical esophagus with frozen-section control, and the distal esophagus is normal.

Full Text

Duke Authors

Cited Authors

  • Bradford, CR; Esclamado, RM; Carroll, WR; Sullivan, MJ

Published Date

  • March 1994

Published In

Volume / Issue

  • 16 / 2

Start / End Page

  • 149 - 154

PubMed ID

  • 8021134

Pubmed Central ID

  • 8021134

Electronic International Standard Serial Number (EISSN)

  • 1097-0347

International Standard Serial Number (ISSN)

  • 1043-3074

Digital Object Identifier (DOI)

  • 10.1002/hed.2880160208

Language

  • eng