caa a22 4500 475848101 CHVBK 20180406123920.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/PL00007508 doi (NATIONALLICENCE)springer-10.1007/PL00007508 Colon interposition in a patient with total postcricoid stenosis after caustic ingestion and preservation of full laryngeal function [Elektronische Daten] [Mieke B. J. Moerman, Kathy G. W. Bouche, Xavier Branquaer, Hubert F. E. Vermeersch] Caustic burns of the upper aerodigestive tract continue to be a significant clinical problem. However, the available literature uncommonly mentions changes affecting the larynx. We could find only one publication in which four cases of high hypopharyngeal stenosis were described in detail and where the functional outcome of the laryngeal function was stated as partially saved. We describe here a case of total retrocricoid stenosis in a 28-year-old woman that was caused by lye ingestion. A life-saving gastroesophagectomy was performed by the Department of General Surgery. Reconstruction of the esophagus was carried out with mobilized right colon, which was meticulously sutured circumferentially behind the arytenoids and on the prevertebral fascia. The anatomy of the larynx and its nerve supply were scrupulously maintained intact. We believe that our patient's rehabilitation was due mainly to an intensive 18-month program of care, following which all laryngeal functions recovered with normal voice and swallowing patterns. Springer-Verlag Berlin Heidelberg, 2000 Key words Caustic esophageal burn nationallicence Postcricoid ¶stenosis nationallicence Colon interposition nationallicence Laryngeal preservation nationallicence Rehabilitation of deglutition nationallicence Moerman Mieke B. J. Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium Tel.: +32-9-2403990, Fax: +32-9-2403935, BE aut Bouche Kathy G. W. Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium Tel.: +32-9-2403990, Fax: +32-9-2403935, BE aut Branquaer Xavier Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium Tel.: +32-9-2403990, Fax: +32-9-2403935, BE aut Vermeersch Hubert F. E. Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium Tel.: +32-9-2403990, Fax: +32-9-2403935, BE aut https://doi.org/10.1007/PL00007508 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/PL00007508 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Moerman Mieke B. J. Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium Tel.: +32-9-2403990, Fax: +32-9-2403935, BE aut NATIONALLICENCE 700 1- Bouche Kathy G. W. Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium Tel.: +32-9-2403990, Fax: +32-9-2403935, BE aut NATIONALLICENCE 700 1- Branquaer Xavier Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium Tel.: +32-9-2403990, Fax: +32-9-2403935, BE aut NATIONALLICENCE 700 1- Vermeersch Hubert F. E. Head and Neck Surgery Department, University Hospital Ghent, 2P2, De Pintelaan 185, 9000 Ghent, Belgium Tel.: +32-9-2403990, Fax: +32-9-2403935, BE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer