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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1997-4-24
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pubmed:abstractText |
Among the various procedures of pharyngeal reconstruction after circumferential pharyngolaryngectomy, the free jejunal autograft (FJA) has become a common one. We retrospectively reviewed 73 cases of reconstruction with FJA after resection for advanced hypopharyngeal carcinomas (70 primary reconstructions, 3 secondary reconstructions). Postoperative outcome, functional and carcinologic results were studied. There were 1 postoperative death, medical complications in 19 patients, 4 graft failures (5.5%), 11 salivary fistulas. The nasogastric tube was removed before the 15th day in more than a half of the patients. One year postoperatively all the evaluable patients were able to take an oral diet (solid or soft diet for 97% of them). The postoperative radiotherapy was well tolerated. Cancer developed further in 33 patients (13 local and/or nodal recurrences, 13 isolated metastasis, 7 second primaries). The overall survival rate was 44.8% at three years. It seems clear that FJA allows good functional results and increases the quality of life in such patients with poor prognosis.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0003-438X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
113
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
269-75
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9124767-Adult,
pubmed-meshheading:9124767-Aged,
pubmed-meshheading:9124767-Carcinoma, Squamous Cell,
pubmed-meshheading:9124767-Female,
pubmed-meshheading:9124767-Humans,
pubmed-meshheading:9124767-Hypopharyngeal Neoplasms,
pubmed-meshheading:9124767-Laryngectomy,
pubmed-meshheading:9124767-Lymphatic Metastasis,
pubmed-meshheading:9124767-Male,
pubmed-meshheading:9124767-Middle Aged,
pubmed-meshheading:9124767-Neoplasm Recurrence, Local,
pubmed-meshheading:9124767-Pharyngectomy,
pubmed-meshheading:9124767-Postoperative Complications,
pubmed-meshheading:9124767-Prognosis,
pubmed-meshheading:9124767-Surgical Flaps
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pubmed:year |
1996
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pubmed:articleTitle |
[Reconstruction with free jejunal graft after total circular pharyngolaryngectomy. 73 cases].
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pubmed:affiliation |
Département de Chirurgie Cervicofaciale et ORL, Institut Gustave Roussy, Villejuif.
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pubmed:publicationType |
Journal Article,
English Abstract
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