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  • Title: [U-shaped free jejunum transplant].
    Author: Germain MA, Julieron M, Trotoux J, Filippetti M, Santoro E, Marzetti F.
    Journal: Ann Chir; 1998; 52(10):978-82. PubMed ID: 9951097.
    Abstract:
    Reconstruction of the oro and hypopharynx has specific difficulties due to their wide diameters. Seven patients underwent reconstruction with a free U-shaped jejunal transplant, after circular pharyngolaryngectomy for hypopharyngeal cancer invading the oropharynx. This transplant included a side-to-side anastomosis between the two limbs of the jejunal loop. This transplant allowed reconstruction of the upper digestive tract after wide carcinologic resection of the pharynx. The U-shaped jejunal transplant facilitated the upper anastomosis, especially at the upper part where the resection involved the oropharynx. It formed a reservoir behind the tongue, and avoided nasal reflux. The best indications are large resections involving the oropharynx.
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