Hypopharyngeal and cervical esophageal repairing

Objective: To explore the ways of repairing the hypopharyngeal and cervial esophageal breach postoperatively.

Methods: 6 kinds of operations in 29 patients with hypopharyngeal and cervical esophageal repairing were analyzed.

Results: In 9 patients laryngeal function reserved, 8 cases recovered their function of swallow and speech postoperatively. One received a laryngectomy in II stage for wrong swallow. In 20 cases without laryngeal function, 17 cases can swallow, but 3 cases had fistula. The 1, 3 and 5 year survival rates were 92%, 64.7% and 46.2% respectively.

Conclusions: The firsthand suture and pectoralis major myocutaneous flap were better for the hypopharyngeal repairing of the patients with laryngeal function. The glossus flap, laryngeal tissue flap, pectoralis major myocutaneous flap and gastric-pharyngeal tally are useful for the digestive canal reconstruction of the patients with laryngectomy.