Abstract
A case is reported in which the finding of an additional primary carcinoma of the right pyriform fossa and one of the cervical esophagus at the time of left radical neck dissection and laryngectomy for carcinoma of the left pyriform fossa necessitated resection of the entire hypopharynx, cervical esophagus and a portion of the upper thoracic esophagus. Satisfactory primary reconstruction was effected by employing a reversed, greater curvature, gastric tube brought through a subcutaneous antethoracic tunnel and anastomosed to the base of the tongue, posterior pharyngeal wall and tonsillar pillars. A three-year follow-up of the patient who was free of recurrence is described. Various other methods of reconstruction following resection of the cervical esophagus, larynx and hypopharynx are reviewed briefly and reasons are cited for the preference of the method employed in this particular case.
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