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April 1987

Avoiding Stenosis in the Tubed Greater Pectoral Flap in Pharyngeal Repair

Author Affiliations

From the Department of Surgery, University of Hong Kong, Queen Mary Hospital.

Arch Otolaryngol Head Neck Surg. 1987;113(4):428-431. doi:10.1001/archotol.1987.01860040090026

• Replacement of circumferential defects of the pharynx with skin-lined flaps rolled into a tube had the problem of anastomotic stricture formation. To prevent and correct stenosis at the mucocutaneous junction, an interdigitating anastomotic line produced by making vertical slits on the skin edge and the esophageal stump edge is used. It allows for maintenance of the lumen despite suture line contraction.

(Arch Otolaryngol Head Neck Surg 1987;113:428-431)

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