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: Our experience with four cases of advanced squamous cell carcinoma of the hypopharynx and cervical oesophagus is discussed. The outlook for cure in such case is very gloomy, but even if a cure is not possible, meaningful operative palliation can be achieved. All four cases were treated with total laryngo-pharyngo-oesoahagectomy gastric pull-up reconstruction. Although the free jejunal interposition graft (FJIG) gives better results with much less morbidity and mortality rates, stomach was used for reconstruction because we do not have the required microvascular surgical expertise. Two of our patients are alive 9 months and 6 months respectively.
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