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Hypopharyngeal reconstruction using remnant narrow pharyngeal wall as omega-shaped radial forearm free flap

DC FieldValueLanguage
dc.contributor.author노태석-
dc.contributor.author유대현-
dc.contributor.author이원재-
dc.contributor.author최은창-
dc.contributor.author탁관철-
dc.contributor.author홍종원-
dc.contributor.author정희선-
dc.date.accessioned2015-04-24T16:53:47Z-
dc.date.available2015-04-24T16:53:47Z-
dc.date.issued2009-
dc.identifier.issn1049-2275-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/104377-
dc.description.abstractPURPOSE: There have been numerous attempts to use pharyngoesophageal reconstruction to restore swallowing function. Much controversy exist over reconstruction after total or partial pharyngectomy, and there is also debate over whether to continue with the reconstructive procedure with a narrow strip of remnant mucosa or complete it after total pharyngectomy. We analyzed the utility of omega-shaped radial forearm free flap (RFFF) using the narrow remnant posterior pharyngeal wall. METHODS: Patients in group 1 (n = 12) had a narrow remnant pharyngeal wall with a width of less than 3 cm. Those in group 2 (n = 35) had a remnant pharynx with a width larger than 3 cm. The incidence of fistula, stricture, and swallowing difficulty were evaluated. Swallowing difficulty was graded using a 7-point visual analog scale. All circumferential hypopharyngeal reconstruction with tubed RFFF, pectoralis major flap, and jejunal free flap were also compared with group 1. RESULTS: All flaps survived, and 1 fistula (8%) was detected in group 1. Compared with tubed RFFF (46%) and tubed pectoralis major flap (57%), this is a relatively low rate of fistula formation. In group 1, normal diet was possible in 92% of patients, but 1 patient can tolerate a liquid diet only. In group 2, normal diet was possible in 80% of patients. As for swallowing difficulty, the median visual analog scale score for both groups 1 and 2 was 6 points. When comparing different flaps, stricture and fistula rate was 0 and 8% in group 1, 15 and 46% in tubed RFFF, 43 and 57% in tubed pectoralis major flap, and 33 and 5% in jejunal flap, respectively. CONCLUSIONS: We performed all surgeries taking care not to transgress the wide excision principle with the remnant hypopharyngeal wall. For remnant lesions greater than 3 cm, patch-type RFFF was performed, whereas for those less than 3 cm, omega-shaped RFFF was done. We achieved fairly good results in both groups without total resection of the narrow remnant hypopharyngeal wall-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF CRANIOFACIAL SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAnastomosis, Surgical/methods-
dc.subject.MESHConstriction, Pathologic/etiology-
dc.subject.MESHDeglutition Disorders/etiology-
dc.subject.MESHDiet-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHForearm/surgery-
dc.subject.MESHGraft Survival-
dc.subject.MESHHumans-
dc.subject.MESHHypopharyngeal Neoplasms/surgery-
dc.subject.MESHHypopharynx/pathology-
dc.subject.MESHHypopharynx/surgery*-
dc.subject.MESHJejunum/transplantation-
dc.subject.MESHLaryngectomy/classification-
dc.subject.MESHOral Fistula/etiology-
dc.subject.MESHPectoralis Muscles/transplantation-
dc.subject.MESHPharyngeal Diseases/etiology-
dc.subject.MESHPharyngectomy/classification*-
dc.subject.MESHPharynx/pathology-
dc.subject.MESHPharynx/surgery*-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHRadius-
dc.subject.MESHReconstructive Surgical Procedures/methods*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSurgical Flaps/classification*-
dc.subject.MESHTissue and Organ Harvesting/methods-
dc.subject.MESHTreatment Outcome-
dc.titleHypopharyngeal reconstruction using remnant narrow pharyngeal wall as omega-shaped radial forearm free flap-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Plastic Surgery & Reconstructive Surgery (성형외과학)-
dc.contributor.googleauthorJong Won Hong-
dc.contributor.googleauthorHii Sun Jeong-
dc.contributor.googleauthorDae Hyun Lew-
dc.contributor.googleauthorTai Suk Roh-
dc.contributor.googleauthorKwan Chul Tark-
dc.contributor.googleauthorEun Chang Choi-
dc.contributor.googleauthorWon Jai Lee-
dc.identifier.doi10.1097/SCS.0b013e3181ae66a9-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01297-
dc.contributor.localIdA02459-
dc.contributor.localIdA03005-
dc.contributor.localIdA04161-
dc.contributor.localIdA04236-
dc.contributor.localIdA04436-
dc.relation.journalcodeJ01356-
dc.identifier.eissn1536-3732-
dc.identifier.pmid19816251-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-200909000-00007&LSLINK=80&D=ovft-
dc.subject.keywordOmega-shaped RFFF-
dc.subject.keywordhypopharyngeal reconstruction-
dc.subject.keywordremnant hypopharyngeal wall-
dc.contributor.alternativeNameRoh, Tai Suk-
dc.contributor.alternativeNameLew, Dae Hyun-
dc.contributor.alternativeNameLee, Won Jai-
dc.contributor.alternativeNameChoi, Eun Chang-
dc.contributor.alternativeNameTark, Kwan Chul-
dc.contributor.alternativeNameHong, Jong Won-
dc.contributor.affiliatedAuthorRoh, Tai Suk-
dc.contributor.affiliatedAuthorLew, Dae Hyun-
dc.contributor.affiliatedAuthorLee, Won Jai-
dc.contributor.affiliatedAuthorChoi, Eun Chang-
dc.contributor.affiliatedAuthorTark, Kwan Chul-
dc.contributor.affiliatedAuthorHong, Jong Won-
dc.citation.volume20-
dc.citation.number5-
dc.citation.startPage1334-
dc.citation.endPage1340-
dc.identifier.bibliographicCitationJOURNAL OF CRANIOFACIAL SURGERY, Vol.20(5) : 1334-1340, 2009-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers

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