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

Abstract

Background: Primary placement of a voice prosthesis may aid rehabilitation after total laryngectomy.Methods: We present a rare clinical situation of a T4 NO MO 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. (C) 1999 John Wiley & Sons, Inc.