New Techniques Of Plastic Surgery To Repair The Pharyngo-Esophageal Segments Using Cervico-Acromial Flaps A Previous Report

Abstract

The author describes several methods of utilizating the cervico-acromial flap (shoulder flap), be it to close pharyngeal fistulas in patients with heavy irradiated skin, or to close large pharyngostomae fashioned after some pharyngo-laryngectomies. These techniques have been used also in cases of cicatricial atresia of the pharynx and esophagus and in cases of esofagocolophasties when the cephalic segment of the colon has been lost by necrosis. Advantages: (1) utilization of a flap from a not distant region with such a good blood supply that assures the vitality of the flap even when it has to be angulated or twisted to attain the area to which it should be applied: (2) Possibility of using the bloody surface of the flap or the surface covered by the skin to fashion a tube for the reconstruction of the pharyngo-esophageal segment.