Hypopharyngeal or pharyngolaryngeal defects from oncological pharyngolaryngectomy result in severe functional debilitation of the areodigestive track. In contrast to esophageal reconstruction, voice reconstruction is often less readily reconstructed with less optimized voice production. Most voice reconstruction rely on external prosthetic devices, the phonation quality is often non-humanoid.

In this talk the refined method for reconstruction of cervical esophagus and voice tube will be described. The speaker’s personal experience and indications will be also discussed. The flap design, flap inset and functional outcomes of voice tube will be demonstrated.

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