SuperWcial temporal artery Xap: a new option for posterior hypopharyngeal wall reconstruction
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Lei Shen · Guo-Kang Fan · Yongbin Zhu · Fengzhi Xu · Wenlong Zhan
- چاپ و سال / کشور: 2011
Description
Reconstruction of hypopharynx after tumor resection remains a challenging problem for the head and neck surgeons. A new surgical technique was introduced to reconstruct the hypopharynx after tumor resection using the superWcial temporal artery Xap. Three patients with T3 carcinoma of the posterior hypopharyngeal wall who underwent surgical resection of the tumor with laryngeal preservation were reported using this method. The larynx functions were preserved successfully in all the patients. In all patients, the nasogastric tubes were removed within 20–50 days (mean 33 days). The tracheal tubes were plugged on days between 14 and 44 (mean 26th day) postoperatively. Then all patients received the postoperative radiotherapy. The tracheal tubes were removed successfully 5–7 months after surgery (mean 6 months) without the evidence of apnea. The speech function was excellent in all patients, which was evaluated according to the voicerelated quality of life questionnaire. Although lymph node metastasis was detected in one patient 6 months after surgery, there were no evidences of Xap complications in all the three patients. The superWcial temporal artery Xap is a new option for the posterior pharyngeal wall reconstruction in selected cases with the hypopharynx carcinoma. The larynx functions were preserved successfully
Eur Arch Otorhinolaryngol (2011) 268:1017–1021,Received: 15 July 2010 / Accepted: 2 February 2011 / Published online: 26 February 2011 © Springer-Verlag 2011
