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KMID : 0374019950180040545
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Ewha Medical Journal
1995 Volume.18 No. 4 p.545 ~ p.548
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Pharyngocutaneous Fistula Following Myocutaneous Flap Reconstruction for Recurrent Hypopharyngeal Malignancy
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Abstract
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The treatment of the recurrent carcinoma involving hypopharynx and cervical esophagus requires radical operation and reconstruction of the food passageway.
Reconstruction of the hypopharynx and cervical esophagus following extensive resection for cancer has been accomplished with various techniques.
The pectoralis major myocutaneous flap remains of the greatest contributions in reconstructive head and neck surgery because it excellent vascularity and may be raised without a delay.
Early studies reported either a low incidence of complications or did not describe the incidence of complications associated with the use of the pectoralis major myocutaneous flap. However, recent publications have suggested that the incidence of
complications is fat greater than previously reported.
Recently, we experienced pharyngocutaneous fistula following reconstruction of the hypopharynx with the pectoralis major myocutaneous flap in recurrent hypopharynx cancer.
Therefore, we analyzed the complication associated with the use of the pectoralis major myocutaneous flap for recurrent hypopharyngeal cancer after total laryngectomy with postoperative radiotherapy.
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KEYWORD
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