METHOD FOR RECONSTRUCTIVE PLASTIC SURGERY IN PATIENTS WITH LOCALLY ADVANCED LARYNGOPHARYNGEAL CANCER T4A, WITH TUMOR SPREAD TO THE CERVICAL ESOPHAGUS Russian patent published in 2022 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to surgery, oncology. The mucous membrane of the posterior pharyngeal wall and the cervical esophagus is separated from the prevertebral fascia. The tumor is removed in a single block with the inclusion of the upper esophageal sphincter, departing 1 cm from the visible border. The transverse and longitudinal dimensions of the defect are measured and the skin area is marked in the projection of the pectoralis major muscle on the side of the operation. The marked skin flap is mobilized together with the area of ​​the pectoralis major muscle and moved through the subcutaneous tunnel to the area of ​​the surgical wound on the neck. The displaced skin-muscle flap is rotated 180 degrees and with its help form the inner lining of the lower part of the pharynx and cervical esophagus, as well as the upper esophageal sphincter. The skin portion of the displaced flap is hermetically sutured to the edges of the defect in the mucous membrane of the pharynx and cervical esophagus in a circle with interrupted sutures made of absorbable material. The muscle portion of the flap is fixed to the local tissues, creating additional sealing and replenishing the volume of the defect in the soft tissues of the neck.

EFFECT: method allows to save such a socially significant organ as the larynx with a widespread lesion - T4a, while there is an easier course of the postoperative period and rehabilitation due to a smaller amount of intervention, does not require special equipment to perform the method, provides rapid epithelialization of the postoperative wound and a decrease in the number of postoperative complications.

1 cl, 8 dwg, 1 ex