open access

Vol 20, No 3 (2015)
Published online: 2015-05-01
Submitted: 2014-04-23
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Delayed reconstruction of the upper digestive tract in a patient following total pharyngolaryngectomy with resection of the cervical oesophagus

Mateusz Szewczyk, Jakub Pazdrowski, Paweł Golusiński, Wojciech Golusiński
DOI: 10.1016/j.rpor.2014.11.009
·
Rep Pract Oncol Radiother 2015;20(3):243-247.

open access

Vol 20, No 3 (2015)
Published online: 2015-05-01
Submitted: 2014-04-23

Abstract

Carcinoma of the hypopharynx is an uncommon disease, with an annual incidence of approximately 1 in 100,000. Post-cricoid carcinoma is more common in women and is not usually associated with tobacco and alcohol abuse. Reconstruction of large pharyngeal defects following surgery for squamous cell carcinoma is complex and often requires microvascular free tissue transfer to achieve the best oncological and functional outcomes. The most common complications of such procedures include fistulas and strictures of the neopharynx. Here, we describe a case of a female patient admitted to the Head and Neck Department at our hospital to undergo delayed reconstruction following pharyngolaryngectomy and removal of the cervical oesophagus. Several complications occurred during post-operative care, including stricture and skin dehiscence. At present, the patient is able to swallow saliva and is currently being prepared to return to a normal diet.

Abstract

Carcinoma of the hypopharynx is an uncommon disease, with an annual incidence of approximately 1 in 100,000. Post-cricoid carcinoma is more common in women and is not usually associated with tobacco and alcohol abuse. Reconstruction of large pharyngeal defects following surgery for squamous cell carcinoma is complex and often requires microvascular free tissue transfer to achieve the best oncological and functional outcomes. The most common complications of such procedures include fistulas and strictures of the neopharynx. Here, we describe a case of a female patient admitted to the Head and Neck Department at our hospital to undergo delayed reconstruction following pharyngolaryngectomy and removal of the cervical oesophagus. Several complications occurred during post-operative care, including stricture and skin dehiscence. At present, the patient is able to swallow saliva and is currently being prepared to return to a normal diet.

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Keywords

Reconstruction; Pharyngolaryngectomy; Free flap; Head and Neck; Delayed

About this article
Title

Delayed reconstruction of the upper digestive tract in a patient following total pharyngolaryngectomy with resection of the cervical oesophagus

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 20, No 3 (2015)

Pages

243-247

Published online

2015-05-01

DOI

10.1016/j.rpor.2014.11.009

Bibliographic record

Rep Pract Oncol Radiother 2015;20(3):243-247.

Keywords

Reconstruction
Pharyngolaryngectomy
Free flap
Head and Neck
Delayed

Authors

Mateusz Szewczyk
Jakub Pazdrowski
Paweł Golusiński
Wojciech Golusiński

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