IN JULY 1964 Kaplan and Markowicz described a method for one-stage reconstruction of the pharynx and the cervical esophagus by means of a penile tubular skin graft.1-2 This method presents several advantages over other reconstructive procedures: contraction of the graft is avoided by its full thickness, the tubularity obviates the need for a vertical suture line; moreover, the graft is hairless, distensible, and its application presents no particular technical problems. Nevertheless, it has not yet been generally accepted as a standard operation.
The profession's reserved attitude prompted us to present an additional case of successful reconstruction by this method. The technique was similar to the one described previously, the only difference being the use of a soft plastic tracheal cannula. This prevented excessive pressure on the posterior tracheal wall and its resulting necrosis, one of the main hazards of the operation.
Report of a Case
A married man,
Shanon E, Plaschkes J. Reconstruction of the Pharynx Using a Penile Skin Graft. Arch Otolaryngol. 1967;86(4):453–455. doi:10.1001/archotol.1967.00760050455019
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