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  • Title: Primary placement of a voice prosthesis on transposed colon after total pharyngolaryngoesophagectomy.
    Author: Parise O, Cutait R, Corrêa PA, Miguel RE, de Angelis EC, Jorge SC.
    Journal: Head Neck; 1999 Jul; 21(4):363-5. PubMed ID: 10376757.
    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.
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