RESUMO
During the period 1972-1982, 84 pharyngoesophageal reconstructions were performed on 82 patients (10 benign lesions and 72 malignant lesions) by the Department of Otolaryngology, Mount Sinai Medical Center, New York. The overall mortality for the series was 10%, with postoperative complications developing in the majority of patients and swallowing accomplished in 61%. The most successful method of reconstruction was stomach transposition (92%), followed by cervical flap repair (68%). The least successful methods were the use of the tubed deltopectoral and pectoralis major myocutaneous flaps, colon interposition, and jejunal autografts (40%-50%). The pertinent literature is reviewed and the reported mortality, morbidity, indications, limitations, and success rates for each method of reconstruction are analyzed and compared with the present series.
Assuntos
Neoplasias Esofágicas/cirurgia , Esofagoplastia/métodos , Neoplasias Faríngeas/cirurgia , Colo/transplante , Deglutição , Feminino , Humanos , Jejuno/transplante , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Transplante de Pele , Estômago/transplante , Retalhos CirúrgicosAssuntos
Otite Média/complicações , Veia Subclávia , Trombose/etiologia , Adulto , Doença Crônica , Humanos , Masculino , Processo Mastoide/diagnóstico por imagem , Processo Mastoide/cirurgia , Radiografia , Trombose dos Seios Intracranianos/diagnóstico , Trombose dos Seios Intracranianos/etiologia , Trombose dos Seios Intracranianos/cirurgia , Veia Subclávia/diagnóstico por imagem , Trombose/diagnóstico por imagem , Torcicolo/etiologiaRESUMO
Sixty-five mass lesions of parotid origin were evaluated using thin-section high-resolution computed tomography to ascertain histologic specificity. All patients were studied after infusion of intravenous contrast media. Factors judged included the extent of glandular involvement, invasion of adjacent soft tissues, degree of postcontrast computed tomography density (relative to muscle), and the presence of calcification.