U-shaped free jejunum transplant.

Reconstruction of the oro and hypopharynx has specific difficulties due to their wide diameters. Seven patients underwent reconstruction with a free U -shaped jejunal transplant, after circular pharyngolaryngectomy for hypopha ryngeal cancer invading the oropharynx. This transplant included a side-to- side anastomosis between the two limbs of the jejunal loop, This transplant allowed reconstruction of the upper digestive tract after wide carcinologi c resection of the pharynx. The U-shaped jejunal transplant facilitated the upper anastomosis, especially at the upper part where the resection involv ed the oropharynx. It formed a reservoir behind the tongue, and avoided nas al reflux, The best indications are large resections involving the orophary nx,