A case study: Posterior wall Reconstruction by Grafting Fascia Lata with Perifascial Areolar Tissue for Recurrent Cancer of the Posterior Hypopharyngeal Wall
下咽頭後壁癌再発に対してPerifascial Areolar Tissue(PAT)付き大腿筋膜移植により後壁再建した1例
In surgery for cancer of the posterior oropharyngeal wall, reconstruction of the posterior wall using free flap with an external incision approach is usually required when the total layer of the pharyngeal constrictor is resected. However, it is more surgically invasive than the transoral approach, and can impair swallowing function following surgery. Here we present a case of reconstruction surgery with the transoral approach using grafting fascia lata with perifascial areolar tissue (PAT)
... r resection of the total layer of the pharyngeal constrictor. A 74-year-old man, who had a past history of partial resection of the tongue, bilateral neck dissection, cervical irradiation and partial resection of the posterior hypopharyngeal wall with reconstruction by free jejunum flap for tongue and hypopharyngeal cancer, had a recurrence at the posterior oropharyngeal wall. After transoral resection of the total layer of the pharyngeal constrictor, we patched the defect in the posterior wall using fascia lata with PAT and covered it with polyglycolic acid (PGA) sheet. The postoperative course was uneventful without exacerbation of swallowing function or severe infection. We consider that transoral reconstruction of the posterior oropharyngeal wall by grafting fascia lata with PAT can be a useful method which is less invasive and an easier surgical procedure than an external incision approach for patients who are not in good general condition.