Free Jejunal Mucosal Patch Graft Reconstruction of the Oropharynx

Truman M. Sasaki, Harvey W. Baker, Donald McConnell, R. Mark Vetto

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

We used microvascular anastomoses to transpose free pedicle jejunal mucosal patch grafts in seven patients. The procedure has been particularly helpful in rebuilding large intraoral mucosal defects created by extensive resections for advanced carcinomas. Some of the benefits of this technique have included a one-stage procedure, which requires two to three weeks for healing; abundant donor tissue with characteristics similar to oral mucosa; near-normal facial appearance; and preservation of maximum tongue function. An unexpected benefit has been relief of annoying xerostomia by the jejunal mucous secretion. The most severe complication, which resulted in one death, was the excessive oral jejunal mucous secretion in the early postoperative period. It led to significant aspiration pneumonitis. To prevent this problem, we recommend a routine tracheostomy combined with rigorous pulmonary care whenever a jejunal patch graft is used.

Original languageEnglish (US)
Pages (from-to)459-462
Number of pages4
JournalArchives of Surgery
Volume117
Issue number4
DOIs
StatePublished - 1982

Fingerprint

Oropharynx
Transplants
Xerostomia
Tracheostomy
Mouth Mucosa
Tongue
Postoperative Period
Pneumonia
Tissue Donors
Carcinoma
Lung

ASJC Scopus subject areas

  • Surgery

Cite this

Free Jejunal Mucosal Patch Graft Reconstruction of the Oropharynx. / Sasaki, Truman M.; Baker, Harvey W.; McConnell, Donald; Vetto, R. Mark.

In: Archives of Surgery, Vol. 117, No. 4, 1982, p. 459-462.

Research output: Contribution to journalArticle

Sasaki, Truman M. ; Baker, Harvey W. ; McConnell, Donald ; Vetto, R. Mark. / Free Jejunal Mucosal Patch Graft Reconstruction of the Oropharynx. In: Archives of Surgery. 1982 ; Vol. 117, No. 4. pp. 459-462.
@article{6104e316c83542b7a2945ddf48b159b8,
title = "Free Jejunal Mucosal Patch Graft Reconstruction of the Oropharynx",
abstract = "We used microvascular anastomoses to transpose free pedicle jejunal mucosal patch grafts in seven patients. The procedure has been particularly helpful in rebuilding large intraoral mucosal defects created by extensive resections for advanced carcinomas. Some of the benefits of this technique have included a one-stage procedure, which requires two to three weeks for healing; abundant donor tissue with characteristics similar to oral mucosa; near-normal facial appearance; and preservation of maximum tongue function. An unexpected benefit has been relief of annoying xerostomia by the jejunal mucous secretion. The most severe complication, which resulted in one death, was the excessive oral jejunal mucous secretion in the early postoperative period. It led to significant aspiration pneumonitis. To prevent this problem, we recommend a routine tracheostomy combined with rigorous pulmonary care whenever a jejunal patch graft is used.",
author = "Sasaki, {Truman M.} and Baker, {Harvey W.} and Donald McConnell and Vetto, {R. Mark}",
year = "1982",
doi = "10.1001/archsurg.1982.01380280043009",
language = "English (US)",
volume = "117",
pages = "459--462",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "4",

}

TY - JOUR

T1 - Free Jejunal Mucosal Patch Graft Reconstruction of the Oropharynx

AU - Sasaki, Truman M.

AU - Baker, Harvey W.

AU - McConnell, Donald

AU - Vetto, R. Mark

PY - 1982

Y1 - 1982

N2 - We used microvascular anastomoses to transpose free pedicle jejunal mucosal patch grafts in seven patients. The procedure has been particularly helpful in rebuilding large intraoral mucosal defects created by extensive resections for advanced carcinomas. Some of the benefits of this technique have included a one-stage procedure, which requires two to three weeks for healing; abundant donor tissue with characteristics similar to oral mucosa; near-normal facial appearance; and preservation of maximum tongue function. An unexpected benefit has been relief of annoying xerostomia by the jejunal mucous secretion. The most severe complication, which resulted in one death, was the excessive oral jejunal mucous secretion in the early postoperative period. It led to significant aspiration pneumonitis. To prevent this problem, we recommend a routine tracheostomy combined with rigorous pulmonary care whenever a jejunal patch graft is used.

AB - We used microvascular anastomoses to transpose free pedicle jejunal mucosal patch grafts in seven patients. The procedure has been particularly helpful in rebuilding large intraoral mucosal defects created by extensive resections for advanced carcinomas. Some of the benefits of this technique have included a one-stage procedure, which requires two to three weeks for healing; abundant donor tissue with characteristics similar to oral mucosa; near-normal facial appearance; and preservation of maximum tongue function. An unexpected benefit has been relief of annoying xerostomia by the jejunal mucous secretion. The most severe complication, which resulted in one death, was the excessive oral jejunal mucous secretion in the early postoperative period. It led to significant aspiration pneumonitis. To prevent this problem, we recommend a routine tracheostomy combined with rigorous pulmonary care whenever a jejunal patch graft is used.

UR - http://www.scopus.com/inward/record.url?scp=0020059302&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0020059302&partnerID=8YFLogxK

U2 - 10.1001/archsurg.1982.01380280043009

DO - 10.1001/archsurg.1982.01380280043009

M3 - Article

C2 - 7065892

AN - SCOPUS:0020059302

VL - 117

SP - 459

EP - 462

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 4

ER -