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.

Simultaneous restoration of swallowing and voice function with ileocolon free flap / Lo Torto, F.; Ribuffo, D.; Manrique, O. J.; Ciudad, P.; Mouchammed, A.; Maruccia, M.; Nicoli, F.; Turriziani, G.; Chen, H. -C.. - In: THE JOURNAL OF CRANIOFACIAL SURGERY. - ISSN 1536-3732. - 31:4(2020), pp. 916-918. [10.1097/SCS.0000000000006274]

Simultaneous restoration of swallowing and voice function with ileocolon free flap

Lo Torto F.
;
Ribuffo D.;Maruccia M.;Turriziani G.;
2020

Abstract

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.
2020
Adult; Aged; Cutaneous Fistula; Humans; Middle Aged; Speech; Voice; Deglutition; Free Tissue Flaps
01 Pubblicazione su rivista::01a Articolo in rivista
Simultaneous restoration of swallowing and voice function with ileocolon free flap / Lo Torto, F.; Ribuffo, D.; Manrique, O. J.; Ciudad, P.; Mouchammed, A.; Maruccia, M.; Nicoli, F.; Turriziani, G.; Chen, H. -C.. - In: THE JOURNAL OF CRANIOFACIAL SURGERY. - ISSN 1536-3732. - 31:4(2020), pp. 916-918. [10.1097/SCS.0000000000006274]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1487798
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