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

WILLARD E. FEE, JR, MD

Arch Otolaryngol. 1984;110(6):384-385.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The article by Robertson and Robinson¹ adds a welcomed additional technique for pharyngoesophageal reconstruction. That so many techniques of reconstruction have been written about attest to their success and failure, ie, cervical skin flaps and modifications,^2-4 axial pattern flap (deltopectoral and others),⁵ myocutaneous flap (pectoralis major and others),⁶ mucosal flap and dermis,⁷ "gastric pull-up,"^8-10 reversed gastric tube,¹¹ free bowel segment with microvascular anastomoses,^12-15 and pectoralis muscle with skin graft.¹⁶ No technique is immune to serious complications, ie, fistula, stricture, and/or mortality. Simply put, those series that do not report one or more of the preceding complications are simply not large enough. The ideal technique does not exist and the experienced head and neck surgeon will have at his command the ability to perform several of those listed.

See also p 386.

Two types of reconstruction are possible: (1) partial reconstruction refers . . . [Full Text PDF of this Article]

Author Affiliations
Stanford, Calif

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