Reconstruction with Free Anterolateral Thigh Flap Following Total Pharyngolaryngectomy for Spontaneous Isolated Superior Mesenteric Artery Dissection

Abstract

　Several procedures have been reported for pharyngoesophageal reconstruction following total pharyngolaryngectomy, of which we perform free jejunal transfer in our facility. In the present case, a patient requiring pharyngoesophageal reconstruction underwent spontaneous isolated superior mesenteric artery dissection. Adverse events with respect to the dissection led us to select a free anterolateral thigh flap instead of the free jejunal transfer. The operation was performed uneventfully with moderate blood pressure control. When opting for jejunal transfer reconstruction, careful history-taking is important. Abdominal enhanced computed tomography should be performed to evaluate the visceral vessels and the risk of general atherosclerosis.