Primary placement of a voice prosthesis on transposed colon after total pharyngolaryngoesophagectomy. |
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Authors: | O Parise R Cutait P A Corrêa R E Miguel E C de Angelis S C Jorge |
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Institution: | Oncology Center, Sírio-Libanês Hospital, S?o Paulo, SP, Brazil. |
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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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