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HELMUTH GOEPFERT, MD
Houston

Arch Otolaryngol. 1985;111(10):706.

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

To the Editor.—I address the article by Robertson and Robinson¹ published in the ARCHIVES. The question, is a skin-lined pharynx necessary, cannot be answered on the basis of only two cases. The temptation to eliminate the skin covering or any suitable lining on the "muscular" flap is great, but not sound in principle. The natural tendency of healing between two raw surfaces defeats this attempt. To give strength to this statement, I can add that we have tried to use the bare pectoralis major muscle in the repair of several defects in the upper digestive tract. Whenever the edges of the defect can be tented to a rigid structure (floor of mouth and mandible, maxilla) and there is no apposition of nonepithelialized surfaces there has been no problem and the normal epithelium has eventually covered the raw surface very much as it occurs on the tonsilar fossa after . . . [Full Text PDF of this Article]

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