DOUBLE LUMEN FREE JEJUNAL TRANSFER FOR RECONSTRUCTION OF THE ENTIRE FLOOR OF MOUTH, PHARYNX AND CERVICAL ESOPHAGUS
DOUBLE LUMEN FREE JEJUNAL TRANSFER FOR RECONSTRUCTION OF THE ENTIRE FLOOR OF MOUTH, PHARYNX AND CERVICAL ESOPHAGUS
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DOI：
10.1016/0007-1226(91)90177-l
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发表时间：
1991-01-01
期刊：
影响因子：
--
通讯作者：
MYERS, EN
中科院分区：
文献类型：
--
作者：
JONES, NF;EADIE, PA;MYERS, EN
在那些需要近端扩大喉咽切除术以包括舌根切除术的患者中，上级咽缺损的周长与传统空肠管道之间存在相当大的不匹配。 可预制一个倒J形空肠漏斗，以扩大游离空肠转移的近端吻合口，以克服这种尺寸差异，从而防止近端吻合口术后瘘的高发生率。 在最极端的情况下，它将允许重建整个口底、咽和颈段食管。
In those patients requiring proximal extension of a laryngopharyngectomy to include resection of the base of the tongue, there is a considerable mismatch between the circumference of the superior pharyngeal defect and a conventional jejunal conduit. An inverted J-shaped jejunal funnel can be prefabricated to enlarge the proximal stoma of a free jejunal transfer to overcome this size discrepancy and so prevent the high incidence of postoperative fistulae at the proximal anastomosis. In the most extreme case it will allow reconstruction of the entire floor of the mouth, pharynx and cervical oesophagus.