Abstract
Background
Strictures at the pharyngoesophageal junction represent a subgroup of corrosive esophageal strictures requiring a specialized management approach. Non-dilatable cricopharyngeal strictures need surgical intervention. We report the use of the sternocleidomastoid muscle myocutaneous inlay flap (SCMMIF) for reconstruction of the cervical esophagus in patients with corrosive strictures.
Methods
A SCMMIF was used in four patients with cricopharyngeal strictures. The surgical technique is described. All patients had complete dilatation of the stenosed cricopharyngeal segment as seen on postoperative endoscopy and contrast studies. One patient was managed successfully for a short midesophageal stricture by serial endoscopic dilatations. Another patient underwent an esophagocoloplasty subsequently for bypass of the long distal esophageal stricture The last two patients await esophagocoloplasty.
Conclusions
This is the first report on the use of sternocleidomastoid muscle myocutaneous inlay flap for corrosive cricopharyngeal strictures. The flap is simple to construct, is effective and can be performed in a short time, and yields good cosmetic results.
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References
Ananthakrishnan N, Nachiappan M, Subba Rao KS (2001) Island pectoralis major myocutaneous flap for pharyngo-oesophageal strictures prior to oesphagocoloplasty. J R Coll Surg Edinb 46:202–204
Ariyan S (1998) Sternocleidomastoid muscle and musculocutaneous flap. In Strauch B, Vasconez LO, Hal Findlay EJ, editors, Grabb’s Encyclopedia of Flaps, 2nd Edition (Illustrated), Philadelphia, Lippincott-Raven, 485–491
Wu MH, Lai WW (1992) Esophageal reconstruction for esophageal strictures or resection after corrosive injury. Ann Thorac Surg 53:798–802
Da-Costa-Pinto EA, Dorsa TK, Altimani A, et al. (2004) A functional study of caustic strictures of the esophagus in children. Braz J Med Biol Res 37:1623–1630
Sakov IUF, Stepanov EA, Razumovskii ALU, et al. (1995) Plastic surgery of the pharynx and cervical oesophagus using a revascularised intestinal segment in children. Khirurgiia 4:3–6
Hung-chi Chen,Yueh-bih Tang, Noordhoff MS (1992) Patch oesophagoplasty with free forearm flap for focal stricture of the pharyngo-oesophageal junction and cervical oesophagus. Plast Reconstr Surg 90:45–52
Izzidien AI, Samarrai AY (1998) Circular myotomy for oesophageal stricture. Pediatr Surg 23:371–373
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Ananthakrishnan, N., Parthasarathy, G., Maroju, N.K. et al. Sternocleidomastoid Muscle Myocutaneous Flap for Corrosive Pharyngoesophageal Strictures. World J Surg 31, 1592–1596 (2007). https://doi.org/10.1007/s00268-007-9120-5
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DOI: https://doi.org/10.1007/s00268-007-9120-5