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 c arcinoma of the hypopharynx and esophagus in a patient who had previously u ndergone a transmesocolic Billroth II gastrectomy. Results: The patient benefited from a total pharyngolaryngoesophagectomy, w ith reconstruction using a transverse-descending colon transposition, and p rimary 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 p rimary placement of a voice prosthesis on a colon autograft. (C) 1999 John Wiley & Sons, Inc.