Page 23 - Head and neck surgery

As a result, a less aggressive trans-cervical approach is now adopted in the surgical

management of isolated PE tumours:

Pharyngo-laryngo-cervico-
Manubrial resection Free jejunal flap

(MR) esophagectomy reconstruction (FJ)
(PLCE)

The manubrium bone is Tumour can be removed Resultant PE defect can be

removed for exposure of PE under direct vision with reconstructed with a segment

tumour in the lower neck adequate resection margins. of jejunum.

and superior mediastinum.