Pharyngo-esophageal reconstruction by free Jejunal graft and microvascular anastomosis in a 10-year-old girl - art. no. E22

Pharyngeal and upper esophagus substitution is an ordinary procedure in adults, performed mainly for oncologic purposes, but it is rarely done in children. The authors present a case report of a free jejunal graft pharyngo/esophageal reconstruction with microvascular anastomosis to the primitive carotid artery and the internal jugular vein in a a 10-year-old girl who had a loss of lower pharynx and cervical esophagus secondary to esophageal perforation by foreign body. Other surgical approaches for pharyngo-esophageal reconstruction in children are revisited. (C) 2004 Elsevier Inc. All rights reserved.