Primary placement of a voice prosthesis on transposed colon after total pharyngolaryngoesophagectomy.
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.
Parise
O
O
Oncology Center, Sírio-Libanês Hospital, São Paulo, SP, Brazil.
Cutait
R
R
Corrêa
P A
PA
Miguel
R E
RE
de Angelis
E C
EC
Jorge
S C
SC
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