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Optimal ileocolic flap length for a reconstructed voice tube after laryngopharyngectomy

Published online by Cambridge University Press:  12 October 2015

Y-A Tsou ,
T-S Li ,
M-H Tsai ,
H-C Chen  and
P Belafsky
Y-A Tsou
Affiliation:
Department of Otolaryngology Head and Neck Surgery, China Medical University Hospital, Taichung, Taiwan
T-S Li
Affiliation:
Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan
M-H Tsai
Affiliation:
Department of Otolaryngology Head and Neck Surgery, China Medical University Hospital, Taichung, Taiwan
H-C Chen*
Affiliation:
Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan
P Belafsky
Affiliation:
Voice and Swallow Center, University of California, Davis, USA
*
Address for correspondence: Dr Hung-Chi Chen, Department of Plastic Surgery, China Medical University Hospital, Yuh-Der Road, No. 2, Taichung, Taiwan E-mail: d22052121@gmail.com
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Abstract

Background:

Voice restoration after laryngopharyngectomy can be achieved with an autologous ileocolic flap. We have observed that the length of the flap influences vocal outcome. This investigation aimed to evaluate the association between ileocolic flap length and vocal quality after laryngopharyngectomy.

Methods:

The charts of patients who underwent voice rehabilitation with an ileocolic flap after laryngopharyngectomy between 1 January 2011 and 30 December 2012 were abstracted. The length of ileum segment in the ileocolic flap was stratified, and voice outcome was evaluated three months post-operatively, while adjusting for confounding variables.

Results:

There was a significant association between flap length and loudness, maximum phonation time and sound pressure level (p < 0.05). All three parameters were best in the 10 cm length group.

Conclusion:

Voice rehabilitation after laryngopharyngectomy is possible with an ileocolic flap. The optimal ileocolic flap contains a 10 cm ileum segment. Complications are frequent but amenable to revision surgery.

Keywords

Ileocolic FlapPharyngectomyLaryngectomyHypopharyngeal NeoplasmVoice Disorder
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 2 , February 2016 , pp. 190 - 193
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented at the 2013 American Society for Reconstructive Microsurgery annual meeting, 12–15 January 2013, Naples, Florida, USA.

References

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