Double lumen free jejunal transfer for reconstruction of the entire floor of mouth, pharynx and cervical oesophagus.

In those patients requiring proximal extension of a laryngopharyngectomy to include resection of the base of the tongue, there is a considerable mismatch between the circumference of the superior pharyngeal defect and a conventional jejunal conduit. An inverted J-shaped jejunal funnel can be prefabricated to enlarge the proximal stoma of a free jejunal transfer to overcome this size discrepancy and so prevent the high incidence of postoperative fistulae at the proximal anastomosis. In the most extreme case it will allow reconstruction of the entire floor of the mouth, pharynx and cervical oesophagus.