Abstract
BACKGROUND: Reconstruction of extensive pharyngoesophageal defects remains challenging in head and neck surgery. The dual-pedicle free jejunal flap was developed to minimize flap failure. We report successful reconstruction using this technique after pharyngolaryngoesophagectomy in advanced hypopharyngeal cancer. CASE REPORT: A 51-year-old man with advanced hypopharyngeal squamous cell carcinoma underwent total pharyngo-laryngo-esophagectomy followed by reconstruction with a dual-pedicle free jejunal flap. The flap was harvested using the second and third branches of the superior mesenteric artery. No anastomotic leakage or flap failure occurred. Adjuvant chemoradiotherapy was administered. At 6 months, oral intake resumed without evidence of recurrence. CONCLUSION: The dual-pedicle free jejunal flap offers reliable pharyngoesophageal reconstruction with reduced failure risk and favorable functional outcomes.