Abstract
53 year old farmer's wife complained of temporary disturbance of swallowing, six months ago.
Recently the symptoms recurred.
On examination a foreign body was found and this was removed. At the site of foreign body lodgement there was found a tumor which upon biopsy examination proved to be carcionma.
By tomography which is of value to delineate the extent of infiltrative tumor to adjoining tissues, it was decided that this case was still within the indication of operability, so that total excision of cervical oesophagus including hypopharynx and the orifice of the oesophagus was successfully carried out without damaging the larynx. For the plastic operation of the oesophagus, skin pedicle from the margin of incised wound was utilized for the anterior and posterior wall, and oesophagial mucous membrane for the left and pharynx mucous membrane for the right lateral walls.
Skin graft was applied on all of the operated field and the wound was kept open. New oesophagus was constructed by second plastic operation.
