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European Journal of Cardio-Thoracic Surgery, Vol 8, 660-662, Copyright © 1994 by European Association for Cardio-thoracic Surgery

ARTICLES

Sternocleidomastoid myocutaneous esophagoplasty

K Frimpong-Boateng
National Cardiothoracic Centre, Korle-Bu Teaching Hospital, Accra, Ghana.

Four cases of short segment non-malignant lesions involving the cervical esophagus, in whom dilatation procedure failed were managed surgically using a sternocleidomastoid myocutaneous flap as a patch to widen the stenotic segment. There were no operative deaths and no leakage of the repair. Barium swallow studies with fluoroscopy and esophagoscopy were used for postoperative follow-up. The follow-up periods ranged from 6 months to 5 years. There has been no restenosis or ulceration of the patch. The follow-up period is certainly too short to allow for any carcinomatous transformation of the skin patch. The simplicity of this method as against other more extensive surgical procedures, such as colon interposition, and also its efficiency should be reason enough for it to be considered as a viable alternative in short segment stenosis of the cervical esophagus, especially in those cases that defy dilatation.

This article has been cited by other articles:

				D. K. Cunningham, S. J. Stern, and H. F. Burnett Sternocleidomastoid Myocutaneous Esophagoplasty for Benign Cervical Stricture Ann. Thorac. Surg., April 1, 2005; 79(4): 1406 - 1407. [Abstract] [Full Text] [PDF]

				R. F. Heitmiller, S. J. McQuone, and D. W. Eisele The Utility Of The Pectoralis Myocutaneous Flap In The Management Of Select Cervical Esophageal Anastomotic Complications J. Thorac. Cardiovasc. Surg., June 1, 1998; 115(6): 1250 - 1254. [Abstract] [Full Text] [PDF]