Single-stage reconstruction of oral and hypopharyngeal double cancer with a free jejunal flap.

Abstract

Multiple primary tumors are a known phenomenon in head and neck cancer. However, the incidence of simultaneous oral and hypopharyngeal double cancer is extremely rare. In light of this, the surgical treatment for oral and hypopharyngeal double cancer has not been established. Here we present a case of oral and hypopharyngeal double cancer in which we successfully used a free jejunal flap to reconstruct an oral and hypopharyngeal defect. When the oral tumor is limited to the mucosal surface, a single-stage reconstruction with a free jejunal flap is a suitable option because it is simple and causes less morbidity than using additional flap reconstruction.