title: [Total laryngopharyngectomy and reconstruction with a jejunum speech siphon : A case report].
abstract: Advanced laryngeal and hypopharyngeal carcinomas are associated with a poor prognosis and a pronounced loss of quality of life due to impairment of the swallowing and voice function. The fundamental therapeutic challenge is successful tumor control with concomitant rehabilitation of swallowing and voice functions. Further objectives are a low complications rate (fistula, aspiration) and prompt transfer to the adjuvant radio-oncologic therapy. With these factors in mind, the microvascular anastomosed jejunum speech siphon with a biventer rein has proven to be an effective method of reconstruction following extensive circular laryngopharyngeal resections. In this case report, a typical operative and postoperative course is presented, as are the functional results.
authors.affiliation: Klinik für HNO-Heilkunde, Kopf- und Halschirurgie, plastische Operationen, Malteser-Krankenhaus St. Anna, Albertus-Magnus-Str. 33, 47259, Duisburg, Deutschland, DAVID.SEIDEL@MALTESER.ORG.
authors.forename: D U
authors.initials: DU
authors.lastname: Seidel
authors.forename: K
authors.initials: K
authors.lastname: Sheppard
authors.forename: Z A
authors.initials: ZA
authors.lastname: Dogan
authors.forename: S
authors.initials: S
authors.lastname: Remmert
mesh_terms: D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D007583:Jejunum / Q000637:transplantation*; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D007825:Laryngectomy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010611:Pharyngectomy / Q000295:instrumentation / Q000379:methods*; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome