Simultaneous Reconstruction of the Esophagus and Restoration of Voice Mechanism Using a Free Ileocolon Flap: A First Case Report from Türkiye

SERT G., NASIR S. N.

TURKISH JOURNAL OF PLASTIC SURGERY, sa.4, ss.147-150, 2024 (ESCI) identifier

  • Yayın Türü: Makale / Editöre Mektup
  • Basım Tarihi: 2024
  • Doi Numarası: 10.4103/tjps.tjps_16_24
  • Dergi Adı: TURKISH JOURNAL OF PLASTIC SURGERY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Academic Search Premier, Directory of Open Access Journals
  • Sayfa Sayıları: ss.147-150
  • Hacettepe Üniversitesi Adresli: Evet

Özet

The reconstruction of esophageal defects with restoring vocal functions is challenging. Major disadvantages of using a fasciocutaneous flap include the requirement for a long suture line for tubularization, the slow healing of mucosa-skin anastomoses, and the necessity of using a voice prosthesis through a tracheoesophageal puncture. The transfer of the ileocolon flap is a totally autologous option for the simultaneous reconstruction of the esophagus and voice function. The ileocecal valve mechanism within the ileocolon flap obviates the need for the insertion of a voice prosthesis, and the terminal ileum acts as the voice tube which directs the air from the trachea to the neo-esophagus. In this report, we describe in detail the surgical technique of the free ileocolon flap transfer for this indication, as well as modifications aimed at reducing complication rates.