Safety of intra-operative vasopressor in free jejunal flap reconstruction.

Background: Microvascular surgeons always hold strong belief against the use of vasopressors during free flap surgery. Our aim is to study the safety of intra-operative vasopressors on free jejunal flap reconstruction.

Methods: A retrospective chart review was performed on patients undergoing free jejunal flap reconstruction, aiming at investigating the intra-operative use of vasopressors and the potential complications associated.

Early prediction of anastomotic leakage after free jejunal flap reconstruction of circumferential pharyngeal defects.

Background: Anastomotic leakage from the free jejunal flap, if diagnosed late, can result in catastrophes. Our study aims to look for clinical parameters that allow early identification of leakage so that appropriate interventions can be taken.

Method: Between 1980 and 2011, consecutive patients with free jejunal flap reconstruction of circumferential pharyngeal defects were included.

Manubrial resection and anterior mediastinal tracheostomy: friend or Foe?

Objectives/hypothesis: To review our experience with manubrial resection and anterior mediastinal tracheostomy and formulate operative guidelines to improve the surgical outcome.

Study Design: Retrospective study.

Methods: Between January 1980 and June 2010, we performed 38 manubrial resections.

Reconstruction of circumferential pharyngeal defects after tumour resection: reference or preference.

Background: Reconstruction of circumferential hypopharyngeal defects is often challenging. The aim of the study is to examine the result of our experience and to formulate improved management guidelines.

Method: Between 1980 and 2009, all patients who have circumferential pharyngectomy were recruited.