HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Chen, H.-c. Articles by Noordhoff, M. S. Search for Related Content PubMed PubMed Citation Articles by Chen, H.-c. Articles by Noordhoff, M. S.

Ann Thorac Surg 1988;45:39-42
© 1988 The Society of Thoracic Surgeons

---

Articles

Early Reconstruction of Pharynx and Esophagus Following Corrosive Injury with Radial Forearm Flap in Preparation for Colon Interposition

From the Chang Gung Memorial Hospital and National Taiwan University Hospital, Taipei, Taiwan

Accepted for publication August 12, 1987.

^* Address reprint requests to Dr. Chen, 6F-1, 28, Hang-chow North Rd, Taipei, Taiwan

In 24 patients, corrosive injuries involving the floor of the mouth, the pharynx, and the esophagus were repaired in two stages using a combined free forearm flap and colon for functional restoration of the alimentary tract. The results were satisfactory. Morbidity was decreased, complications were minimal, and there were no failures.

In the first stage, early reconstruction with a forearm flap for the oral floor, the pharynx, and the cervical esophagus can be done safely 3 months after the original injury when the acute inflammation of the tissue has disappeared. The forearm flap is thin and pliable, and has a good blood supply for primary healing without failure or stricture. Dysphagia is eliminated because food passes down by gravity. There is no constriction or hyperperistalsis of the colon, both of which are occasionally seen with the traditional colon interposition.

In the second stage, the traditional method is used to finish the reconstruction of the remainder of the esophagus.

This article has been cited by other articles:

				J. C. Wain, C. D. Wright, E. Y. Kuo, A. C. Moncure, E. W. Wilkins Jr, H. C. Grillo, and D. J. Mathisen Long-segment colon interposition for acquired esophageal disease Ann. Thorac. Surg., February 1, 1999; 67(2): 313 - 317. [Abstract] [Full Text] [PDF]