Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance

  • Fujisawa, Daisuke (Department of Plastic and Reconstructive Surgery, Dokkyo Medical University) ;
  • Asato, Hirotaka (Department of Plastic and Reconstructive Surgery, Dokkyo Medical University) ;
  • Tanaka, Katsunori (Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital) ;
  • Itokazu, Tetsuo (Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital) ;
  • Kojya, Shizuo (Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital)
  • Received : 2019.01.22
  • Accepted : 2019.03.06
  • Published : 2020.03.15
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Abstract

In this report, we present a case in which good results were achieved by treatment using a free jejunal patch graft with virtual endoscopy (VE) assistance in a patient whose swallowing had failed to improve for 40 years after he mistakenly swallowed sulfuric acid, despite pectoralis major myocutaneous flap grafting and frequent balloon dilatation surgery. During the last 20 years, virtual computed tomography imaging has improved remarkably and continues to be used to address new challenges. For reconstructive surgeons, the greatest advantage of VE is that it is a noninvasive modality capable of visualizing areas inaccessible to a flexible endoscope. Using VE findings, we were able to visualize the 3-dimensional shape beyond the stenosis. VE can also help predict the area of the defect after contracture release.

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References

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