Evaluation of Swalloing Disorders in Patients after Pharyngolaryn goesophagectomy According to Type of Reconstruction

Abstract

The post-reconstructive swallowing was evaluated in 54 patients after pharyngolaryn-goesophagectomy. The patients reconstructed with a free jejunum showed genarally good swallowing compared with those reconstructed with a pedicle flap such as deltopectral, latissimus dorsi muscle or pectralis major muscle flap. The difficulty of passing from the pharynx into the jejunum used for reconstruction was frequently observed particularly when pharynx was extensively resected including tonsil and tongue base. However, the p type anastomosis between the pharynx and the jejunum did not significantly improve the passing. Advantage and disadvantage of reconstruction with a free colon were also discussed.