Objective: To report our experience in reconstructing hypopharynx and cervical esophagus with four kinds of operations.
Method: Twenty one patients underwent reconstruction of the hypopharyngeal and cervical esophagus defect using contralateral hemilaryngeal mucosa flap, pectoralis major myocutaneous flap, forearm free flap and jejunal free flap.
Result: All of cases were successful. Postoperative pharyngocutaneous fistulas occurred in two patients, which resolved spontaneously. All of patients can swallow ordinary food and had no benign strictures after operation.
Conclusion: Every operation style has advantage and disadvantage. We had to select the operation of choice depending upon the location and size of the carcinoma, perioperative complication.
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