Pharyngolaryngectomy using a free jejunal graft: a new anastomosis technique

•  We describe a technique of staple anastomosis for pharyngolaryngeal reconstruction using a free jejunal graft. •  Stapled anastomosis can be applied to both the upper and lower pharyngeal and oesophageal repair. Our series of 37 stapled anastomosis developed no post operative leaks. •  This technique allows an easier method for inferior anastomosis low down in the upper mediastinum where access is often difficult. •  Swallowing was established in all patients. •  Primary puncture into oesophagus below the anastomosis, gives good results with a low stricture rate of 11% all of which resolved with a single subsequent dilatation.

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