Repair of salivary fistula after reconstruction of pharyngoesophagus

Journal Article · Fri Jul 01 00:00:00 EDT 1988 · Arch. Otolaryngol. Head Neck Surg.; (United States)

DOI:https://doi.org/10.1001/archotol.1988.01860190074027· OSTI ID:6953477

Murakami, Y; Ikari, T; Haraguchi, S; Okada, K; Maruyama, T; Tateno, H

We describe three surgical methods used to repair salivary fistulas in different situations that are seen after reconstruction of the pharyngoesophagus in patients with hypopharyngeal cancer. The principle of these methods is the same; a cervical skin flap next to the fistula is used as the internal lining and an anterior chest skin flap is rotated as an external lining to cover it. For the primary closure of heavily irradiated fistulas, this combination may not always be effective, and we emphasize that a combined use of a pedicled pectoralis major muscle flap with these two kinds of pedicled skin flap is extremely reliable.

• Research Organization: Keio Univ. School of Medicine, Tokyo (Japan)
• OSTI ID: 6953477
• Journal Information: Arch. Otolaryngol. Head Neck Surg.; (United States), Vol. 114:7
• Country of Publication: United States
• Language: English

Related Subjects

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
ESOPHAGUS
BIOLOGICAL REPAIR
PHARYNX
SALIVARY GLANDS
FISTULAE
BIOLOGICAL RADIATION EFFECTS
NEOPLASMS
PATIENTS
RADIATION INJURIES
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BIOLOGICAL EFFECTS
BIOLOGICAL RECOVERY
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DIGESTIVE SYSTEM
DISEASES
GLANDS
INJURIES
ORGANS
PATHOLOGICAL CHANGES
RADIATION EFFECTS
RECOVERY
REPAIR
RESPIRATORY SYSTEM
560151* - Radiation Effects on Animals- Man