Abstract
In treating hypopharyngeal carcinoma T3N3M0, semi-single reconstruction was carried out after laryngopharyngoesophagectomy, using a pectoralis major myocutaneous flap. Procedurally, the hypopharynx was not closed, but a small fistula was made. After post-operative radiation therapy, the fistula was closed using a local hinge flap and a rotation flap under local anesthesia. As advantages of this method, it may be pointed out that major complication due to salivary leakage is absent; the fistula can be closed under local anesthesia; and no influence is exerted on post-operative radiation therapy.
