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Jejunal free-flap reconstruction complicated by development of post-irradiation sarcoma: what information should patients receive about the long-term effects of radiotherapy for head and neck tumours

Published online by Cambridge University Press:  08 March 2006

D. R. K. Smith  and
S. L. Woolley
D. R. K. Smith
Affiliation:
University Hospital of Wales, Heath Park, Cardiff, Wales, UK.
S. L. Woolley
Affiliation:
Emergency Department, Bristol Royal Infirmary/Bristol Children’s Hospital, Bristol, UK.
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Abstract

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Jejunal free-flap reconstruction is a well recognized, reliable technique commonly used for reconstruction of the upper aero-digestive tract following surgery for malignancy, and radiotherapy is commonly used as an adjuvant treatment in such cases. Unfortunately, post-irradiation sarcomas are a well recognized complication of radiotherapy and generally have a poor prognosis. We report what we believe to be the first case of radiation-induced sarcoma in a free-flap jejunal graft and discuss the information that should be given to patients undergoing radiotherapy to head and neck tumours.

Keywords

PharynxCarcinomaSurgical FlapsRadiotherapySarcomaPatient Education
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 119 , Issue 3 , March 2005 , pp. 212 - 215
Copyright
© 2005 Royal Society of Medicine Press