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March 1962

Treatment of Carcinoma of Postcricoid Region: Report of Case

Arch Otolaryngol. 1962;75(3):239-244. doi:10.1001/archotol.1962.00740040247012

Introduction  Carcinoma of the postcricoid region of the pharynx is best treated by surgical extirpation. There are many ways to achieve this, although the primary problem in this case is the reconstruction of the pharynx.Wookey2 advocates the removal of both the larynx and the involved esophagus in one specimen and primary reconstruction of the pharynx with a large skin flap from the anterior surface of the neck.Our experience with this procedure has been rather disappointing because of sloughing of the skin flap and the required lengthy plastic repair with tube pedicle skin grafts.Edgerton5 used a fine stainless steel mesh tube covered with a split thickness skin graft. He sutured the 2 ends of the skin graft to the upper opening of the pharynx and below to the opening of the cervical esophagus. The ensuing stenosis at the lower end of the skin graft due to