Treatment of postoperative hypopharyngeal and cervical esophageal severe restricture

Abstract

A rare case of postoperative hypopharyngeal and cervical esophageal severe re-stricture is presented. On 1961, he had undergone pharyngectomy followed by reconstruction with local skin flap (Wookey operation) for hypopharyngeal stricture after extirpation of hypopharyngeal foreing body. On October 16, 1995, a 42-year-old male came to our hospital with a chief complaint of difficulty in swallowing. He had right recurrent laryngeal nerve paralysis. Fluorographic examination revealed the severe re-stricture. On 28 November 1995, he underwent resection of the skin flap tube followed by recon-struction with free jejunal graft preserving the larynx and Biller's laryngoplasty to prevent aspiration. He could accept a normal diet without aspiration after surgery. The voice was also preserved.