TY - JOUR
T1 - Simultaneous Restoration of Swallowing and Voice Function With Ileocolon Free Flap
AU - Lo Torto, Federico
AU - Ribuffo, Diego
AU - Manrique, Oscar J.
AU - Ciudad, Pedro
AU - Mouchammed, Agko
AU - Maruccia, Michele
AU - Nicoli, Fabio
AU - Turriziani, Gianmarco
AU - Chen, Hung Chi
N1 - Publisher Copyright:
© 2020 Lippincott Williams and Wilkins. All rights reserved.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Background:Free ileocolon flap is a reliable technique allowing simultaneous restoration of swallowing and speech. The aim is to report our 6-year experience in a single center.Methods:Thirty-seven patients treated between 2010 and 2015 were included in the study. Swallowing and speech function were evaluated in 27 patients with a 7-point and 5-point Likert scale, respectively. Moreover, 12 of them consented to voice spectrum analysis (VSA).Results:Complications noted were: aspiration (3), esophagocutaneous fistula (2), and stricture (1). Seven patients experienced self-limited diarrhea. Regarding swallowing function, 77.8% scored ≥5 on Likert scale whereas speech Likert scale showed excellent results (score >12) in 74%. VSA demonstrated mean phonation time of 10.75 seconds, mean frequency of 131 Hz and mean dynamic range of 56 dB.Conclusion:In experienced hands, the ileocolon flap is safe and effective, particularly in patients with long-life expectancy, providing good swallowing and speech function without further procedures/prostheses.
AB - Background:Free ileocolon flap is a reliable technique allowing simultaneous restoration of swallowing and speech. The aim is to report our 6-year experience in a single center.Methods:Thirty-seven patients treated between 2010 and 2015 were included in the study. Swallowing and speech function were evaluated in 27 patients with a 7-point and 5-point Likert scale, respectively. Moreover, 12 of them consented to voice spectrum analysis (VSA).Results:Complications noted were: aspiration (3), esophagocutaneous fistula (2), and stricture (1). Seven patients experienced self-limited diarrhea. Regarding swallowing function, 77.8% scored ≥5 on Likert scale whereas speech Likert scale showed excellent results (score >12) in 74%. VSA demonstrated mean phonation time of 10.75 seconds, mean frequency of 131 Hz and mean dynamic range of 56 dB.Conclusion:In experienced hands, the ileocolon flap is safe and effective, particularly in patients with long-life expectancy, providing good swallowing and speech function without further procedures/prostheses.
KW - Ileocolon flap
KW - pharyngolaryngectomy reconstruction
KW - swallowing restoration
KW - voice reconstruction
KW - voice restoration
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U2 - 10.1097/SCS.0000000000006274
DO - 10.1097/SCS.0000000000006274
M3 - Article
C2 - 32097384
AN - SCOPUS:85086052238
SN - 1049-2275
VL - 31
SP - 916
EP - 918
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 4
ER -