Abstract
There are several options for reconstructing circumferential defects of the hypopharynx and cervical esophagus after total laryngopharyngectomy. Both myocutaneous pedicled flaps (pectoralis, trapezius) and fasciocutaneous free flaps (radial forearm, lateral arm, lateral thigh) can be useful for partial defects; however, because of bulk or lack of length, they may not be appropriate for total circumferential defects. The jejunum free flap has proven to be an effective alternative in these circumstances. Jejunum free flaps allow for a complete single-staged reconstruction, early restoration of normal deglutition, and accommodation of a tracheoesophageal voice prosthesis. Complications such as graft failure and fistula formation are potentially serious problems; however, the overall success rates of jejunum free tissue transfer make it a favorable reconstructive alternative.
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