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Simultaneous reconstruction of cervical soft tissue and esophagus with a gastro-omental free flap

Journal Article · · Plastic and Reconstructive Surgery; (USA)
; ; ; ;  [1]
  1. Univ. of Wisconsin Hospital, Madison (USA)

A microvascular transfer of gastric tube and omentum was used to simultaneously reconstruct cervical soft-tissue and esophageal defects in five patients. All patients had previous high-dose radiation and multiple flap reconstructions. The largest esophageal and soft-tissue defects were 10 cm and 160 cm2, respectively. All wounds healed primarily except for one orocutaneous fistula. There was one death from an intraoperative stroke. The gastro-omental flap is useful in cases where the reconstructive surgeon is faced with both esophageal and soft-tissue defects--particularly in heavily irradiated patients who have few reconstructive options.

OSTI ID:
6271095
Journal Information:
Plastic and Reconstructive Surgery; (USA), Journal Name: Plastic and Reconstructive Surgery; (USA) Vol. 86:5; ISSN PRSUA; ISSN 0032-1052
Country of Publication:
United States
Language:
English