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June 1984

Hypopharyngeal Reconstruction

Author Affiliations

Stanford, Calif

Arch Otolaryngol. 1984;110(6):384-385. doi:10.1001/archotol.1984.00800320038008

The article by Robertson and Robinson1 adds a welcomed additional technique for pharyngoesophageal reconstruction. That so many techniques of reconstruction have been written about attest to their success and failure, ie, cervical skin flaps and modifications,2-4 axial pattern flap (deltopectoral and others),5 myocutaneous flap (pectoralis major and others),6 mucosal flap and dermis,7 "gastric pull-up,"8-10 reversed gastric tube,11 free bowel segment with microvascular anastomoses,12-15 and pectoralis muscle with skin graft.16 No technique is immune to serious complications, ie, fistula, stricture, and/or mortality. Simply put, those series that do not report one or more of the preceding complications are simply not large enough. The ideal technique does not exist and the experienced head and neck surgeon will have at his command the ability to perform several of those listed.

See also p 386.

Two types of reconstruction are possible: (1) partial reconstruction refers

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