Portions of the gastrointestinal tract may be used as microvascular transfers for reconstruction of the hypopharynx and esophagus. The colon, jejunum and portions of the stomach have been successfully used. For most reconstructive problems, the jejunum provides the most suitable tissue. Its vascularity is reliable and it can be removed with minimal morbidity. It provides a tubular transfer which is the right size for esophageal reconstruction (Fig. 15-1).
KeywordsIschemia Rubber Shoe Mediastinitis
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