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  • Title: [Reconstruction with free jejunal graft after total circular pharyngolaryngectomy. 73 cases].
    Author: Julieron M, Germain MA, Schwaab G, Marandas P, Le Ridant AM, Bourgain JL, Janot F, Luboinski B.
    Journal: Ann Otolaryngol Chir Cervicofac; 1996; 113(5):269-75. PubMed ID: 9124767.
    Abstract:
    Among the various procedures of pharyngeal reconstruction after circumferential pharyngolaryngectomy, the free jejunal autograft (FJA) has become a common one. We retrospectively reviewed 73 cases of reconstruction with FJA after resection for advanced hypopharyngeal carcinomas (70 primary reconstructions, 3 secondary reconstructions). Postoperative outcome, functional and carcinologic results were studied. There were 1 postoperative death, medical complications in 19 patients, 4 graft failures (5.5%), 11 salivary fistulas. The nasogastric tube was removed before the 15th day in more than a half of the patients. One year postoperatively all the evaluable patients were able to take an oral diet (solid or soft diet for 97% of them). The postoperative radiotherapy was well tolerated. Cancer developed further in 33 patients (13 local and/or nodal recurrences, 13 isolated metastasis, 7 second primaries). The overall survival rate was 44.8% at three years. It seems clear that FJA allows good functional results and increases the quality of life in such patients with poor prognosis.
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