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November 1982

Greater Omentum Used for Carotid Cover After Pharyngolaryngoesophagectomy and Gastric 'Pull-up' or Colonic 'Swing'

Author Affiliations

From the Department of Otolaryngology, Mount Sinai Hospital, University of Toronto (Drs Freeman, Brondbo, Noyek, Rubin, and Chapnik); the Memorial Sloan-Kettering Cancer Center, New York (Mr Osborne); and the Department of Head and Neck Surgery, Royal Marsden Hospital, London (Mr Shaw).

Arch Otolaryngol. 1982;108(11):685-687. doi:10.1001/archotol.1982.00790590007003

• An excellent method of rehabilitation for swallowing after total pharyngolaryngoesophagectomy is the reconstruction of the pharyngoesophagus with an autogenous visceral transplant. The most popular and reliable methods are the gastric "pull-up" and colonic "swing." A complication of this procedure—which can result in morbidity as well as mortality—is carotid artery rupture, especially when a neck dissection is performed. This is usually the result of wound breakdown secondary to adjunctive use of radiotherapy. When we have performed a radical neck dissection in conjunction with a visceral transplantation, we have used pedicled omentum as a live, durable cover for the carotid artery.

(Arch Otolaryngol 1982;108:685-687)