Free Jejunal Autotransplant for Reconstruction of Pharyngoesophageal Defect.

Abstract

Microsurgical revascularization in the neck has improved the survival rate of free small-bowel grafts used to replace the cervical esophagus.  Compared with previous intraoral reconstruction techinques using skin or myocutaeous flaps, the stage free jejunal grafts result in low morbidity, rapid postoperative recovery and no additional head and neck scars.  A case of successful reconstruction of cervical esophagus removed along with larynx in CA thyroid using free jejunal autotransplant was presented.  Intraoperative procedure, advantages and disadvantages were discussed n detail.