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Eur J Cardiothorac Surg 2002;21:136-139
© 2002 Elsevier Science NL

Case report

Cololaryngostomy procedure in caustic esophageal burns

Hayrettin Cebecia, Melih Paksoya*, Asim Kaytazb, Ethem Unala

a Department of General Surgery, Cerrahpasa Medical Faculty of Istanbul University, Istanbul, Turkey
b Department of Ear–Nose–Throat, Cerrahpasa Medical Faculty of Istanbul University, Istanbul, Turkey

Received 27 October 2000; received in revised form 5 September 2001; accepted 2 October 2001.

* Corresponding author. Istanbul University, P.K. 32, 34301 Cerrahpasa, Istanbul, Turkey. Tel.: +90-212-274-5174; fax: +90-212-633-4841.

The study presented herein was undertaken to report an original case of cololaryngostomy operation in caustic esophageal burns. Cololaryngostomy application to a chronic caustic esophageal burn case is reported with a detailed literature review of the topic. For the first time in the world, the larynx was used for the integrity of the gastrointestinal system by applying a cololaryngostomy procedure as it was found to be the only intact and reliable tissue in the operation. The patient started to gain weight in a 3-month period. Oral nutrition and speech were also achieved. Caustic injury to the upper aerodigestive system with scarring of the pharynx, hypopharynx and esophagus is an important reconstructive problem. In reconstruction, the aim should be the supplementation of both oral nutrition and speech.

Key Words: Caustic esophageal burns • Larynx • Colon interposition • Cololaryngostomy






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Copyright © 2002 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.