title: 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Oncology Center, Sírio-Libanês Hospital, São Paulo, SP, Brazil.
authors.forename: O
authors.initials: O
authors.lastname: Parise
authors.forename: R
authors.initials: R
authors.lastname: Cutait
authors.forename: P A
authors.initials: PA
authors.lastname: Corrêa
authors.forename: R E
authors.initials: RE
authors.lastname: Miguel
authors.forename: E C
authors.initials: EC
authors.lastname: de Angelis
authors.forename: S C
authors.initials: SC
authors.lastname: Jorge
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003106:Colon / Q000637:transplantation*; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000534:rehabilitation; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000534:rehabilitation; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D010611:Pharyngectomy / Q000534:rehabilitation; D019651:Plastic Surgery Procedures