Discussion: PDF OnlySimultaneous Reconstruction of Cervical Soft Tissue and Esophagus with a Gastro-Omental Free FlapMixter, R. C. M.D.; Rao, V. K. M.D., M.B.A.; Katsaros, J. M.D.; Noon, J. M.D.; Tan, E. M.D. Author Information From the University of Wisconsin Hospital. Received for publication February 14, 1989; revised May 18, 1989. Plastic and Reconstructive Surgery: November 1990 - Volume 86 - Issue 5 - p 905-909 Buy Abstract A microvascular transfer of gastric tube and omentum was used to simultaneously reconstruct cervical soft-tissue and esophageal defects in five patients. All patients had previous high-dose radiation and multiple flap reconstructions. The largest esophageal and soft-tissue defects were 10 cm and 160 cm2, respectively. All wounds healed primarily except for one orocutaneous fistula. There was one death from an intraoperative stroke. The gastroomental flap is useful in cases where the reconstructive surgeon is faced with both esophageal and soft-tissue defects—particularly in heavily irradiated patients who have few reconstructive options. ©1990American Society of Plastic Surgeons
