Total Laryngopharyngectomy + Reconstruction
With Jejunum Microvascular Flap
Total Laryngopharyngectomy + Reconstruction With Jejunum Microvascular Flap
Fig.1 Total Laryngopharyngectomy and neck dissection on left side had been done. Permanent tracheostoma had been done. Green arrow – cut end of pharynx. Yellow arrow – cut end of oesophagus. White arrow – vessels for microvascular anastamosis.
Fig.2 Sufficient length of jejunum along with the feeding blood vessels is harvested.
Fig.3 Jejunum is anastamosed to pharynx and oesophagus. Green arrow – pharyngeal anastamosis. Yellow arrow – oesophageal anastamosis. white arrow – microvascular anastamosis between jujunal blood vessels and neck blood vessels.
Fig.4 Barium swallow shows the contrast material flowing through the jejunal graft (between the two yellow arrows).
Fig.5 Primary tracheo-oesophageal puncture and insertion of voice prosthesis done. Picture shows the voice prosthesis.
The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
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The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)