title: Secondary placement of a voice prosthesis after total pharyngolaryngectomy with colon interposition: voice restoration in colon interposition.
abstract: We present a patient treated by a total pharyngolaryngoesophagectomy and postoperative radiotherapy for a hypopharyngeal T4N2bM0 squamous cell carcinoma. The upper digestive tract was reconstructed with a pedicled left colon interposition through the posterior mediastinum. A voice prosthesis was placed 9 months after the initial treatment, following measurement of the tracheo-neopharyngeal wall thickness by sonography. Fifteen months after the total pharyngolaryngectomy, the patient remains free of recurrent disease and has successfully resumed speaking with the voice prosthesis.
authors.affiliation: Department of ENT and Head and Neck Surgery, Ghent University Hospital, Ghent, Belgium. mieke.moerman@tiscali.be
authors.forename: Mieke
authors.initials: M
authors.lastname: Moerman
authors.forename: Hossein
authors.initials: H
authors.lastname: Fahimi
authors.forename: Dirk
authors.initials: D
authors.lastname: Voet
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy* / Q000601:surgery*; D003106:Colon / Q000637:transplantation*; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000532:radiotherapy* / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010611:Pharyngectomy / Q000379:methods*; D011788:Quality of Life; D013524:Surgical Flaps