Primary placement of a voice prosthesis on transposed colon after total pharyngolaryngoesophagectomy

✍ Scribed by Orlando Parise Jr; Raul Cutait; Paulo Alberto Corrêa; Roberto Elias Vilella Miguel; Elisabete Carrara de Angelis; Sérgio do Carmo Jorge

• Book ID: 101245940
• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 86 KB
• Volume: 21
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/(sici)1097-0347(199907)21:4<363::aid-hed11>3.0.co;2-u

✦ Synopsis

Background: Primary placement of a voice prosthesis may aid rehabilitation after total laryngectomy.

Methods: We present a rare clinical situation of a T4 N0 M0 squamous cell carcinoma of the hypopharynx and esophagus in a patient who had previously undergone a transmesocolic Billroth II gastrectomy.

Results: The patient benefited from a total pharyngolaryngoesophagectomy, with reconstruction using a transversedescending colon transposition, and primary placement of a lowpressure voice prosthesis.

Conclusion: Primary placement of a voice prosthesis may be successful even in a patient who requires extensive pharyngoesophageal reconstruction using transposed colon. To our knowledge, there has been no previous report of primary placement of a voice prosthesis on a colon autograft.