caa a22 4500 38808345X CHVBK 20180307125224.0 cr unu---uuuuu 161130e199902 xx s 000 0 eng 10.1017/S0022215100143403 doi S0022215100143403 pii (NATIONALLICENCE)cambridge-10.1017/S0022215100143403 Reconstructive techniques currently used following resection of hypopharyngeal carcinoma [Elektronische Daten] There is no general consensus as to the best method of reconstruction following total laryngopharyngectomy for hypopharyngeal carcinoma. The aim of this study is to attempt to establish the current practice amongst British ENT Consultants and to ascertain the reasons for their choice of reconstructive technique. An anonymous questionnaire was sent to 546 consultants in the UK and the results of 363 (66.5 per cent) were analysed. One hundred and twenty-eight (35.3 per cent) consultants replied that they performed surgery for hypopharyngeal carcinoma. Sixty-five (50.8 per cent) performed a stomach pull-up procedure, 23 (18 per cent) used a jejunal free flap, 36 (28.1 per cent) used both and four (3.1 per cent) used other techniques. In the stomach pull-up group, the main reasons given for their choice were because there was no lower resection margin (48 out of 65) and because of tradition in the way they were trained (37 out of 65). In the group using the jejunal free flap, lower morbidity (18 out of 23) and mortality (14 out of 23) were the main reasons for their choice. The questionnaire also found that amongst the 60 consultants who would consider using a jejunal free flap, the majority (39) aimed for a lower clearance margin of 2-4 cm, while 17 aimed for >4 cm clearance. This study provides a good indication of the current practice in the UK of reconstruction following resection for hypopharyngeal carcinoma. It appears that the stomach pull-up remains the most commonly used method of reconstruction, but the jejunal free flap is becoming increasingly more popular because of its lower morbidity and mortality. Copyright © JLO (1984) Limited 1999 Hypopharyngeal neoplasms nationallicence Pharyngectomy nationallicence Surgical flaps nationallicence Ayshford C. A. Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK. Walsh R. M. Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK. Watkinson J. C. Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK. The Journal of Laryngology & Otology Cambridge University Press 113/2(1999-02), 145-148 0022-2151 113:2<145 1999 113 JLO https://doi.org/10.1017/S0022215100143403 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0022215100143403 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ayshford C. A. Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK NATIONALLICENCE 700 1- Walsh R. M. Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK NATIONALLICENCE 700 1- Watkinson J. C. Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/2(1999-02), 145-148 0022-2151 113:2<145 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge