Pharyngeal and Esophageal Surgical Reconstructive Techniques
Department of Plastic Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital
The main treatment options for malignant tumors are surgery, chemotherapy, and radiotherapy. Surgical reconstruction is important to preserve vital functions and the patient's social wellbeing following tumor resection. Head and neck, esophageal, breast, and orthopedic surgical reconstructions are frequently performed. Some cases are complicated by delayed wound healing due to radiotherapy, malnutrition, and other factors. A variety of advanced reconstructive techniques, ranging from skin grafting to the use of free flaps, pedicled flaps, and artificial materials, have been developed. In our experience of treating patients with hypopharyngeal and esophageal cancers, reconstructive surgery, mainly autologous transfers such as free jejunal transfer, enables aggressive resection. Successful engraftment of reconstructed tissues and minimization of complications are important to preserve vital functions, particularly feeding and respiration.
úãåãï 2018; 14(4), 146-151
pharyngeal reconstruction, esophageal reconstruction, free flap, free tissue transfer, microvascular anastomosis
Hiroki Umezawa, Department of Plastic Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku Tokyo 113-8603, Japan