Abstract
Reconstruction of pharyngo-oesophageal defects remains a surgical challenge. Free
jejunal flaps, first described by Seidenberg in 1959, are used to reconstruct circumferential
defects, but their main disadvantage is sensitivity to ischaemia. Others are secretions,
an unpleasant smell, and problems at the donor site. To improve the tolerance of the
jejunal segment to ischaemia and to give the surgeon more time, we cool it after harvest
and flush it with organ preservation fluid. We describe the technique in a small case
series of seven patients.
Keywords
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References
- Jejunal free flap reconstruction of the pharyngolaryngectomy defect: 368 consecutive cases.J Plast Reconstr Aesthet Surg. 2013; 66: 9-15
- Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment.Ann. Surg. 1959; 149: 162-171
- Ischemic injury to enteric free flaps: an experimental study in the dog.Plast. Reconstr. Surg. 1988; 81: 939-945
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- Cold ischemia in microvascular breast reconstruction.Microsurgery. 2010; 30: 361-367
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- Evaluation of various solutions for small bowel graft preservation.World J. Gastroenterol. 1998; 4: 140-143
Article info
Publication history
Published online: August 08, 2016
Accepted:
July 27,
2016
Footnotes
☆This paper was initially presented as an oral presentation at the annual scientific meeting of British Association of Oral and Maxillofacial Surgeons in Ireland on the 11th of July 2013.
Identification
Copyright
© 2016 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
