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Ann Thorac Surg 2006;81:712-714
© 2006 The Society of Thoracic Surgeons

Case report

Pharyngo-Colostomy With Supraglottic Partial Laryngectomy in Caustic Oropharyngeal Stricture

Hoseok I, MD a , Young Mog Shim, MD a , * , Young-Ik Son, MD b , Kwhanmien Kim, MD a , Yong Soo Choi, MD a

a Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
b Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea

Accepted for publication December 17, 2004.

* Address correspondence to Dr Shim, Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, 50 Irwon-Dong, Gangnam-gu, Seoul 135-710, South Korea (Email: youngmog.shim{at}samsung.com).

We present two cases of chronic caustic stricture from the oropharynx to the entire esophagus combined with laryngeal stricture in which the piriform sinuses were stenosed. The restoration of digestive continuity was accomplished by end-to-end pharyngo-colostomy at the level of the cricoid cartilage through the posterior mediastinal route. Supraglottic partial laryngectomy and pharyngoplasty were done simultaneously for the laryngeal and oropharyngeal stricture. The patients were able to swallow a soft blend diet to regular diet with negligible penetration.




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