case_images: PMC8298143_01
case_images: CT scan, axial view. There is an abnormal enhancing mass in the left pyriform sinus.
case_images: CRIOT2021-6619916.001.jpg
case_images: PMC8298143_01_CRIOT2021-6619916.001.jpg
case_images: fig1
case_images: The preoperative staging was T3N1M0 based on the American Joint Committee on Cancer (AJCC) TNM system (Figure 1).
case_images: The rolled flap was advanced and connected (using modified Gambee suture) to pharyngeal wall to provide additional mucosa to cover the defect.
case_images: CRIOT2021-6619916.002.jpg
case_images: PMC8298143_01_CRIOT2021-6619916.002.jpg
case_images: fig2
case_images: Short arrow indicates anastomosis of flap to oropharynx in proximal. Long arrow indicates anastomosis of rolled flap to cervical esophagus in distal part of the defect.
case_images: CRIOT2021-6619916.003.jpg
case_images: PMC8298143_01_CRIOT2021-6619916.003.jpg
case_images: fig3
case_images: External view of the neck. Flash showing the supraclavicular flap pedicle, demonstrating a viable flap after 2 months of surgery.
case_images: CRIOT2021-6619916.004.jpg
case_images: PMC8298143_01_CRIOT2021-6619916.004.jpg
case_images: fig4
case_images: Flap viability was evaluated using the flap pedicle which was visible and accessible from the anterior aspect of the neck (Figure 4).
case_images: Examination of the pharyngeal entrance and supraclavicular flap using fiber-optic, after 2 months of surgery. The long arrow indicates supraclavicular flap and the short arrow indicates new pharyngeal lumen input.
case_images: CRIOT2021-6619916.005.jpg
case_images: PMC8298143_01_CRIOT2021-6619916.005.jpg
case_images: fig5
case_images: After successful initiation of oral feeding, the patient began to receive 30 sessions of adjuvant CRT. 1 year after surgery, no evidence of recurrence was observed (Figure 5).