BACKGROUND: During the coronavirus disease 2019 (COVID19) pandemic, pedicle flaps (instead of free flaps) were recommended for reconstruction following wide resection for patients with head and neck cancer, in order to reduce the use of medical resources. Currently, there are no established treatment guidelines for patients with head and neck cancer with synchronous esophageal cancer. CASE REPORT: We present a 68-year-old male with cT4aN2cM0 oral floor and synchronous cT1bN1M0 esophageal cancers who had defective reconstruction following oral tumor resection before esophagectomy during the pandemic. At the initial surgery, the oral resected defect was reconstructed using supraclavicular artery flap. The subsequent esophagectomy was reconstructed by gastric tube reconstruction. Both postoperative courses were successful, without the need for postoperative ventilator use. The days from initial or second surgery to discharge were 14 or 16 days, respectively. CONCLUSION: This case had achieved negative surgical margins and recovered oral intake with tracheostomy decannulation. Further case accruement using supraclavicular artery flap is required for patients with head and neck cancer and synchronous esophageal cancer.
BACKGROUND: During the coronavirus disease 2019 (COVID19) pandemic, pedicle flaps (instead of free flaps) were recommended for reconstruction following wide resection for patients with head and neck cancer, in order to reduce the use of medical resources. Currently, there are no established treatment guidelines for patients with head and neck cancer with synchronous esophageal cancer. CASE REPORT: We present a 68-year-old male with cT4aN2cM0 oral floor and synchronous cT1bN1M0 esophageal cancers who had defective reconstruction following oral tumor resection before esophagectomy during the pandemic. At the initial surgery, the oral resected defect was reconstructed using supraclavicular artery flap. The subsequent esophagectomy was reconstructed by gastric tube reconstruction. Both postoperative courses were successful, without the need for postoperative ventilator use. The days from initial or second surgery to discharge were 14 or 16 days, respectively. CONCLUSION: This case had achieved negative surgical margins and recovered oral intake with tracheostomy decannulation. Further case accruement using supraclavicular artery flap is required for patients with head and neck cancer and synchronous esophageal cancer.
Authors: Juan P Rodrigo; Gianluigi Grilli; Jatin P Shah; Jesus E Medina; K Thomas Robbins; Robert P Takes; Marc Hamoir; Luiz P Kowalski; Carlos Suárez; Fernando López; Miquel Quer; Carsten C Boedeker; Remco de Bree; Hakan Coskun; Alessandra Rinaldo; Carl E Silver; Alfio Ferlito Journal: Eur J Surg Oncol Date: 2018-01-11 Impact factor: 4.424
Authors: Daniel C Sukato; Alisa Timashpolsky; George Ferzli; Richard M Rosenfeld; Eli A Gordin Journal: Otolaryngol Head Neck Surg Date: 2018-10-09 Impact factor: 3.497
Authors: Hisham Mehanna; John C Hardman; Jared A Shenson; Ahmad K Abou-Foul; Michael C Topf; Mohammad AlFalasi; Jason Y K Chan; Pankaj Chaturvedi; Velda Ling Yu Chow; Andreas Dietz; Johannes J Fagan; Christian Godballe; Wojciech Golusiński; Akihiro Homma; Sefik Hosal; N Gopalakrishna Iyer; Cyrus Kerawala; Yoon Woo Koh; Anna Konney; Luiz P Kowalski; Dennis Kraus; Moni A Kuriakose; Efthymios Kyrodimos; Stephen Y Lai; C Rene Leemans; Paul Lennon; Lisa Licitra; Pei-Jen Lou; Bernard Lyons; Haitham Mirghani; Anthonny C Nichols; Vinidh Paleri; Benedict J Panizza; Pablo Parente Arias; Mihir R Patel; Cesare Piazza; Danny Rischin; Alvaro Sanabria; Robert P Takes; David J Thomson; Ravindra Uppaluri; Yu Wang; Sue S Yom; Yi-Ming Zhu; Sandro V Porceddu; John R de Almeida; Chrisian Simon; F Christopher Holsinger Journal: Lancet Oncol Date: 2020-06-11 Impact factor: 41.316