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Primary placement of a voice prosthesis on transposed colon after total pharyngolaryngoesophagectomy
Author(s) -
Parise Orlando,
Cutait Raul,
Corrêa Paulo Alberto,
Miguel Roberto Elias Vilella,
de Angelis Elisabete Carrara,
do Carmo Jorge Sérgio
Publication year - 1999
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199907)21:4<363::aid-hed11>3.0.co;2-u
Subject(s) - prosthesis , medicine , voice prosthesis , laryngectomy , esophageal speech , surgery , basal cell , larynx
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 transverse‐descending colon transposition, and primary placement of a low‐pressure 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. © 1999 John Wiley & Sons, Inc. Head Neck 21: 363–365, 1999.