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The paper presents a 26-year experience of the ENT Clinic of the Pomeranian Medical Academy in Szczecin with 20 patients who underwent reconstruction of the hypopharynx after resection for locally advanced carcinoma. The procedures were carried out in years 1970-1995. The reconstructions included 7 musculomucosal pedicle flaps obtained from the base of the tongue, 5 epiglottis pedicle flaps, 4 tubed pectoralis major musculocutaneous flaps, 1 vascular pedicle submandibular gland flap, 1 deltopectoral flap, 1 skin flap and 1 island pectoralis major musculocutaneous flap. An analysis of the procedures with emphasis on the oncological and functional results indicates that each techniques has advantages in specific circumstances. Guidelines for the application of the techniques are described.
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M Wasilewska
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