Replacement of the Cervical Esophagus and Hypopharynx by a Revascularized Free Jejunal Autograft

Abstract
IT is the purpose of this paper to present a case of successful replacement of the cervical esophagus and hypopharynx with a revascularized jejunal autograft in a patient with carcinoma of the hypopharynx.Cancer of the hypopharynx and cervical esophagus has remained a major challenge to surgeons. Radiation therapy has generally not given satisfactory results, and surgical extirpation continues as the most satisfactory approach to this difficult problem. Operations in this region are usually multistaged, requiring the use of pharyngotomes,1 whereas the one-stage resections requiring the use of a split-thickness graft often result in a high incidence of complications, usually . . .