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Free jejunal patch flaps in oral and oro-pharyngeal reconstruction

Published online by Cambridge University Press:  29 June 2007

H. C. Cocks*
Affiliation:
Department of Otolaryngology, University Hospital Birmingham, U.K.
B. N. Kumar
Affiliation:
Department of Otolaryngology, University Hospital Birmingham, U.K.
A. R. Das Gupta
Affiliation:
Department of Otolaryngology, University Hospital Birmingham, U.K.
M. H. Simms
Affiliation:
Department of Vascular Surgery, University Hospital Birmingham, U.K.
*
Address for correspondence: Miss H. Cocks, Department of Otolaryngology, Queen Elizabeth University Hospital, Birmingham B15 2TH. e-mail: helen.cocks@btinternet.com

Abstract

Free jejunum has been commonly tubed to provide a reconstructive pharyngeal conduit following pharyngolaryngectomy. It is also common practice to repair small oral and oro-pharyngeal defects with skinlined flaps i.e. radial free forearm or pectoralis major myocutaneous flap.

Free jejunal patch flaps can provide cover for large defects, secrete mucus, tolerate radiotherapy well and do not contract. The operation is associated with a low morbidity and early return of swallowing is feasible. Here we describe the functional results of free jejunal patch flap reconstruction of extensive oral and oro-pharyngeal defects.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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References

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