U-Shaped free jejunal transplantation: Improved technique and indications

Reconstruction of the oropharynx and the hypopharynx is difficult due to th eir wide diameters. We report eight cases of circumferential pharyngolaryng ectomies for epidermoid carcinomas of the hypopharynx extended to the oroph arynx and classified T4. Reconstruction was performed with a U-shaped free jejunal transplantation. This specific technique consists of a side to side anastomosis between two loops of jejunum. It facilitates reconstruction at the level of the oropharynx and diminishes postoperative complications.