Pectoralis major muscle flap for hypopharyngeal and esophageal defect 1 cases of.doc

 PAGE \* MERGEFORMAT 11 Pectoralis major muscle flap for hypopharyngeal and esophageal defect 1 cases of Author: Wen Zhixiong, Wu Pan-Ming, Liu Xiaojia Keywords: pectoralis major muscle flap for hypopharyngeal and esophageal defect Early symptoms of laryngeal cancer was not obvious, easy to violation of adjacent organs and tumors, most cases are mostly late treatment after surgery often brings a complex defect difficult to repair. In recent years, Otolaryngology - Head and Neck Surgery of the development carried out hypopharyngeal and cervical esophageal cancer treatment, to achieve better results. In April 2004 admitted to our hospital, and one cases of laryngeal and hypopharyngeal violations of the upper esophagus, line the whole larynx, hypopharynx, and anterior part of the upper esophagus resection, pectoralis major muscle flap repair the anterior wall of the throat and upper esophagus were followed up for 1 year 8 months, good results are reported as follows. A medical summary of Patients, male, 67 years old. In October 2004 appeared hoarseness, persistent and progressive increase, five months later accompanied by sore throat, swallowing pain, dysphagia, hoarseness increased, shortness of breath, cough, cough white sputum, right neck mass in the local poor treatment effect of infection. Physical examination: right of the neck can reach tumor diameter of 3 cm, quality hard boundaries clear, smooth surface, fixed, no tenderness. Bilateral pulmonary rales can be heard a little moist. Specialist examination: the right side of room with elevated nodular thickening of vocal cords, about 3 cm, the surface of ulcers, the border less clear, the right vocal activities, poor, poor glottal closure. Larynx CT: mission-shaped throat on the right shadow, about 3 cm × 3.2 cm, involving the upper and lower glottal area, the less clear boundaries with the surrounding tissue, laryngeal ventricle, airway deformation, right neck, a small grou