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David E. Schuller, MD

Arch Otolaryngol. 1985;111(3):193-197.

Abstract
• Reconstruction of the pharynx and/or cervical esophagus continues to represent a formidable challenge for the head and neck oncologic surgeon. An analysis was made of 40 patients undergoing pharyngeal and/or esophageal reconstruction. The majority of these reconstructions were sometimes used in combination with skin grafts and even regional skin flaps. Those patients undergoing complete pharyngeal-esophageal reconstruction using a myocutaneous flap with soft Silastic stenting will be discussed as to the potential value of this technique. This article addresses the author's preference for particular reconstructive techniques (ie, skin graft v flap) as it relates to anatomic areas in the pharynx and esophagus. The study concludes that the myocutaneous flaps can be effectively and successfully used for the one-stage reconstruction of subtotal pharyngeal-esophageal defects. However, the reconstruction of total pharyngeal-esophageal defects continues to be a problem area, with only moderate success achieved with the techniques described.

(Arch Otolaryngol 1985;111:193-197)

Author Affiliations
From the Department of Otolaryngology, the Ohio State University, Columbus.

Footnotes
Accepted for publication Nov 12, 1984.

Read before the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, May 12, 1984.

Reprint requests to Department of Otolaryngology, the Ohio State University, 456 Clinic Dr, Columbus, OH 43210 (Dr Schuller).

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