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August 1988

The Gastric Patch Graft for Pharyngeal Reconstruction

Author Affiliations

Galveston, Tex

Arch Otolaryngol Head Neck Surg. 1988;114(8):835. doi:10.1001/archotol.1988.01860200017006

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At the recent spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla, Drs Richard E. Hayden and John M. Frederickson, both of St Louis, presented their preliminary results from six cases in which free gastro-omental grafts were used to reconstruct pharyngeal defects. This technique was first described in 1961, and then, more recently, in 1987. The graft is taken from the greater curvature of the stomach and can be up to 14×12 cm in area. The vascular supply is based on the right or the left gastroepiploic artery and vein. Advantages of this graft include the following: (1) as little or as much omentum as is necessary may be included; (2) the lining of the stomach's greater curvature does not contain acid-producing cells; (3) the flap is thin and pliable; (4) the flap is easily harvested by a second surgical team working simultaneously

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