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Article: Immediate reconstruction of pharyngoesophageal defects. Preference or reference

TitleImmediate reconstruction of pharyngoesophageal defects. Preference or reference
Authors
Issue Date1989
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archoto.com
Citation
Archives Of Otolaryngology - Head And Neck Surgery, 1989, v. 115 n. 5, p. 608-612 How to Cite?
AbstractIn this era of development in reconstruction, interest in searching for the most appropriate procedure for replacing the pharyngoesophageal defect is intense. The type of defect, depending on the level of invasion by the cancer, should be classified as partial pharyngeal, circumferential pharyngeal, or pharyngoesophageal. Within each class, the surgeon can have his preference for a reconstructive procedure according to available expertise and familiarity. In our series of 97 patients with pharyngoesophageal defects resulting from resection of laryngeal, hypopharyngeal, and cervical esophageal cancers, the patch-on pectoralis major myocutaneous flap, the tubed pectoralis major myocutaneous flap, and the stomach were used for the three types of defects, respectively. Mortality and morbidity, while kept at an acceptable level, appear to rise as the complexity of the procedure increases. This supports the argument that the reconstructive method should be selected with reference to the type of defect, which is in turn dependent on the site and behavior of the tumor. The reconstructive procedure is to fit the defect, and not vice versa.
Persistent Identifierhttp://hdl.handle.net/10722/172605
ISSN
2014 Impact Factor: 2.327
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLam, KHen_HK
dc.contributor.authorHo, CMen_HK
dc.contributor.authorLau, WFen_HK
dc.contributor.authorWei, WIen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:23:42Z-
dc.date.available2012-10-30T06:23:42Z-
dc.date.issued1989en_HK
dc.identifier.citationArchives Of Otolaryngology - Head And Neck Surgery, 1989, v. 115 n. 5, p. 608-612en_HK
dc.identifier.issn0886-4470en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172605-
dc.description.abstractIn this era of development in reconstruction, interest in searching for the most appropriate procedure for replacing the pharyngoesophageal defect is intense. The type of defect, depending on the level of invasion by the cancer, should be classified as partial pharyngeal, circumferential pharyngeal, or pharyngoesophageal. Within each class, the surgeon can have his preference for a reconstructive procedure according to available expertise and familiarity. In our series of 97 patients with pharyngoesophageal defects resulting from resection of laryngeal, hypopharyngeal, and cervical esophageal cancers, the patch-on pectoralis major myocutaneous flap, the tubed pectoralis major myocutaneous flap, and the stomach were used for the three types of defects, respectively. Mortality and morbidity, while kept at an acceptable level, appear to rise as the complexity of the procedure increases. This supports the argument that the reconstructive method should be selected with reference to the type of defect, which is in turn dependent on the site and behavior of the tumor. The reconstructive procedure is to fit the defect, and not vice versa.en_HK
dc.languageengen_US
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archoto.comen_HK
dc.relation.ispartofArchives of Otolaryngology - Head and Neck Surgeryen_HK
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshEsophageal Neoplasms - Surgeryen_US
dc.subject.meshEsophagoplasty - Methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHypopharyngeal Neoplasms - Surgeryen_US
dc.subject.meshHypopharynx - Surgeryen_US
dc.subject.meshLaryngeal Neoplasms - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPharynx - Surgeryen_US
dc.subject.meshSurgery, Plasticen_US
dc.subject.meshSurgical Flapsen_US
dc.titleImmediate reconstruction of pharyngoesophageal defects. Preference or referenceen_HK
dc.typeArticleen_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid2706107-
dc.identifier.scopuseid_2-s2.0-0024539756en_HK
dc.identifier.volume115en_HK
dc.identifier.issue5en_HK
dc.identifier.spage608en_HK
dc.identifier.epage612en_HK
dc.identifier.isiWOS:A1989U471800007-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLam, KH=7403657342en_HK
dc.identifier.scopusauthoridHo, CM=7404652540en_HK
dc.identifier.scopusauthoridLau, WF=7402933215en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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