AI Article Synopsis
- Esophageal strictures post-surgery or trauma can lead to significant health issues, including poor nutrition and weight loss, particularly after treatments for conditions like cancer.
- In a reported case, a 62-year-old man who had developed dysphagia after cancer treatment underwent patch esophagoplasty using a free proximal lateral leg flap to repair a 3-cm segment stricture in the cervical esophagus.
- The surgery involved resecting the fibrotic tissue, with no malignancy found, and the patient's recovery was smooth, leading to satisfactory functional outcomes at a 6-month follow-up.
Article Abstract
Esophageal stricture after surgery or trauma is a major reason for poor oral nutrition, body-weight loss, and general damage to health. Patch esophagoplasty, after repeated failed dilation attempts, is recommended for focal esophageal strictures. In this report, we present a case in which a free proximal lateral leg flap was used for reconstruction of focal stricture of the cervical esophagus. A 62-year-old man developed progressive dysphagia after hypopharyngeal cancer ablation and adjuvant radiotherapy. He was referred for surgical interventions after repeated failed dilation attempts. Preoperative evaluation revealed a 3-cm segment stricture of the cervical esophagus without evidence of an additional distal stricture. Patch esophagoplasty with free tissue transfer was planned. After the stricture site had been explored, the fibrotic tissue was resected. A pathology report confirmed no evidence of malignancy. The resultant defect in an otherwise healthy posterior esophageal wall was reconstructed using a proximal lateral leg flap. Recovery was uneventful and the functional outcome was satisfactory at the 6-month follow-up. For the radiated patients with cervical esophageal focal strictures, we introduced a novel use of the proximal lateral leg flap in patch esophagoplasty because of its unnoticeable donor site morbidity and its thin and pliable nature. © 2016 Wiley Periodicals, Inc. Microsurgery 37:426-430, 2017.
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| http://dx.doi.org/10.1002/micr.30028 | DOI Listing |
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