Page 18 - Head and neck surgery
P. 18

Left. Trans-oral robotic reconstruction is performed after microvascular

                                     anastomosis and restoration of perfusion of the jejunum. Accurate

                                     placement of sutures can be achieved during the anastomosis between

                                     the oropharynx (OP) and the proximal end of the free jejunal flap (FJ).




                                     Right. Completion of pharyngo-jejunal anastomosis circumferentially.

                                     Watertight suturing between the oropharynx (OP) and the free jejunal

                                     flap (FJ) is crucial to prevent salivary leakage and the development of

                                     pharyngo-cutaneous fistula.
                                                                                                                                                     Chan JY, Chan RC, Chow VL, et al.

                                                                                                                                                      Oral Oncol. 2017 Sep;72:194-196.
   13   14   15   16   17   18   19   20   21   22   23