This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Guy J. Petruzzelli, MD, PhD; Jonas T. Johnson, MD; Eugene N. Myers, MD; Kenneth Shestak, MD; Neil Ford Jones, MD; Elmer Cano, MD; Egbert J. deVries, MD; Robin Wagner

Arch Otolaryngol Head Neck Surg. 1991;117(11):1265-1268.

Abstract
• Free tissue transfer of a jejunal segment was undertaken for laryngopharyngoesophageal reconstruction in 20 patients who received postoperative irradiation therapy. Treatment consisted of 1.8- to 2-Gyfractions, the average total dose was 55.57 Gy (range,40 to 66 Gy). Anastomotic strictures (six) were encountered early in the series and associated with stapled anastomoses. Hand-sewing the jejunoesophagostomy eliminated the problem. Enteric cutaneous fistula, bowel necrosis, and hemorrhagic enteritis were not observed. We conclude that the application of postoperative irradiation therapy to patients requiring jejunal interposition grafts is feasible.

(Arch Otolaryngol Head Neck Surg. 1991;117:1265-1268)

Author Affiliations
From the Departments of Otolaryngology (Drs Petruzzelli, Johnson, Myers, and deVries, and Ms Wagner), Radiation Oncology (Dr Cano), and Plastic and Reconstructive Surgery (Drs Shestak and Jones), University of Pittsburgh (Pa) School of Medicine. Dr deVries is now with the University of Florida, Gainesville.

Footnotes
Accepted for publication June 11, 1991.

Reprint requests to the Department of Otolaryngology, Eye and Ear Institute of Pittsburgh, Suite 500, 203 Lothrop St, Pittsburgh, PA 15213 (Dr Petruzzelli).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?