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Jeremy L. Freeman, MD, FRCS(C); Kjell Brondbo, MD; Michael Osborne, MS, FRCS; Arnold M. Noyek, MD, FRCS(C); Henry J. Shaw, MS, FRCS; Allan Rubin, MD, PhD; Jerry S. Chapnik, MD, FRCS(C)

Arch Otolaryngol. 1982;108(11):685-687.

Abstract
• An excellent method of rehabilitation for swallowing after total pharyngolaryngoesophagectomy is the reconstruction of the pharyngoesophagus with an autogenous visceral transplant. The most popular and reliable methods are the gastric "pull-up" and colonic "swing." A complication of this procedure—which can result in morbidity as well as mortality—is carotid artery rupture, especially when a neck dissection is performed. This is usually the result of wound breakdown secondary to adjunctive use of radiotherapy. When we have performed a radical neck dissection in conjunction with a visceral transplantation, we have used pedicled omentum as a live, durable cover for the carotid artery.

(Arch Otolaryngol 1982;108:685-687)

Author Affiliations
From the Department of Otolaryngology, Mount Sinai Hospital, University of Toronto (Drs Freeman, Brondbo, Noyek, Rubin, and Chapnik); the Memorial Sloan-Kettering Cancer Center, New York (Mr Osborne); and the Department of Head and Neck Surgery, Royal Marsden Hospital, London (Mr Shaw).

Footnotes
Accepted for publication July 29, 1982.

Read in part before the American Society for Head and Neck Surgery, Palm Beach, Fla, May 5, 1982.

Reprint requests to the Department of Otolaryngology, Mount Sinai Hospital, 600 University Ave (481), Toronto, Ontario, Canada M5G 1X5 (Dr Freeman).

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