Assuntos
Síndrome de Horner/diagnóstico , Adolescente , Adulto , Idoso , Obstrução das Vias Respiratórias/diagnóstico , Peso Corporal , Carcinoma de Células Escamosas/diagnóstico por imagem , Transtornos de Deglutição/diagnóstico , Diagnóstico Diferencial , Diplopia/diagnóstico , Paralisia Facial/diagnóstico , Feminino , Transtornos da Audição/diagnóstico , Humanos , Neoplasias Laríngeas/diagnóstico por imagem , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Radiografia , Fraturas Cranianas/diagnóstico por imagem , Síncope/diagnóstico , Neoplasias da Traqueia/diagnóstico por imagem , Neoplasias da Traqueia/secundárioRESUMO
Laryngopharyngeal reconstruction has remained a challenging field since the performance of the first laryngectomy near the turn of the century. Cutaneous, myocutaneous and colonic reconstruction is still occasionally used but is fraught with a high stenosis and fistula rate. Gastric pull-up has remained the procedure of choice for single staged pedicled reconstruction. Free tissue transfer has brought a new era to this field by adding another single staged reconstruction. This publication reviews our experience with free jejunal transfer and reviews recent developments in laryngopharyngeal reconstruction.
Assuntos
Esôfago/cirurgia , Laringe/cirurgia , Faringe/cirurgia , Cirurgia Plástica/métodos , Humanos , Jejuno/transplante , Laringectomia/reabilitação , Faringectomia/reabilitaçãoRESUMO
Magnetic Resonance imaging (MRi) is a new imaging technique. The authors review the basic principles and present several cases comparing MRi with CT scanning and surgical findings. The major advantages of MRi include lack of ionizing radiation, non-invasiveness and absence of interpetrous artifact when visualizing the posterior fossa. Magnetic Resonance imaging of the posterior fossa, especially of the brain stem and cranial junction, has significant advantages over imaging by CT scanning.
