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PRIMARY RECONSTRUCTIVE SURGERY WITH PEDICLED FLAP AFTER RESECTION OF THE HEAD AND NECK TUMOR: REPORT Ⅱ MEDIALLY BASED ANTERIOR CHEST FLAP FOR PARTIALLY PHARYN-GECTOMIZED CASES Yasushi Murakami 1 pp.289-295
Published Date 1972/4/20
DOI https://doi.org/10.11477/mf.1492207771
  • Abstract
  • Look Inside

 Post-excisional defect after resection of cancer in the posterior wall of the hypopharynx and the pyriform sinus was successfully reconstructed with medially based anterior chest ( deltopectoral) flap and with preservation of laryngeal functions.

 1. In cases of radical neck dissection the pharyngeal resurfacing of the pyriform sinus can be accomplished most appropriately with pedicled skin flap.

 2. Medially based anterior chest flap offers the possibility of reestablishment of the pharyngeal functions.

 3. Hockey-stick incision in the neck provides excellent field for neck dissection and, in the second stage operation, an easy approach for making the pedicle flap separated with minimal cosmetic deformity.

 4. The pedicled flap has a very little tendency to shrink and the newly constructed pyriform sinus would be maintained at sufficient width to allow endoscopic microexamination later for possible recurrence of the tumor.


Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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