Pharyngoesophageal reconstruction with free jejunum or radial forearm flap as diversionary conduit: Functional outcomes of patients with persistent dysphagia and aspiration.
Luigi LoscoDicle AksoylerShih-Heng ChenAlberto BollettaJonathan Velazquez-MujicaGiuseppe Di TarantoFederico Lo TortoMarco MarcascianoEmanuele CignaHung-Chi ChenPublished in: Microsurgery (2020)
The diversion loop offers an alternative route for alimentation. Patients are freed from their choking obsession; moreover, they are rehabilitated into society without the drawbacks of permanent jejunostomy feeding. The technique was upgraded with caudal marginal mandibulectomy to improve the outcomes. Patients undergoing a diversionary procedure due to radiation damage should be carefully informed about the expected functional results.