Le transplant libre jéjunal révascularisé pour la reconstruction du pharynx etde l'oesophage cervical

Reconstruction of the pharynx and cervical esophagus by means of jejunal free flap. Reconstruction of the pharynx and cervical part of the esophagus after total laryngopharyngectomy can be done by different surgical techniques. The use of a revascularized jejumal free flap has currently appears to be a methodof choice. The authors report on 22 patients treated by surgery in the years 1990-1997. All the patients were males, aged 38-67 years. In all cases total laryngopharyngectomies, and in some also resection of the upper part of the esophagus were performed owing to {carcinoma.Seventeen} patients had carcinoma situated in hypopharynx, 3 in the larynx, and two in the {oropharynx.The} esophagus was not involved in 15 patients, while in 7 patients the tumor was found to have spread from the pharynx into the esophageal orifice. By the end of 1997, out af all surgically treated patients 8 were free of recurrence, 10 had died due to progressing disease and one due to surgery-related complications; one patient of cancer-underlated disease, and two patients have the disease in progress.