Pharyngolaryngectomy and Staged Pharyngoplasty Using DP Flap for Hypopharyngeal Carcinoma

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  • 下咽頭癌に対する下咽頭喉頭全摘とDP皮弁を用いた再建

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Abstract

Pharyngolaryngectomy with staged pharyngoplasty using local and delto-pectral (DP) flaps was performed in thirty-eight patients with hypopharyngeal carcinoma. The three-year survival rate as determined by Kaplan-Meier method was 32.6%. As for complications, after pharyngolaryngectomy 13% of patients showed advanced necrosis of the neck skin and 26% showed partial necrosis of the neck skin. After pharyngoplasty,45% of patients showed some fistula-formation and seven patients underwent subsequently a second pharyngoplasty using another DP flap. These results suggest that this procedure should be used when jejunum transplantation is impossible or when transplated jejunum becomes necrotic.

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