Abstract
We report a patient with recurrent laryngeal cancer after treatment by chemoradiotherapy. He underwent a surgical voice restoration with a free ileocecal patch graft after laryngectomy. The ileocecal patch graft consists of anastomosis of cecum to pharynx, then anastomosis of ileum to trachea. The ileocecal valve is useful for voice restoration and preventing aspiration. The advantages of this method are that it can not only supply more blood to the post-chemoradiotherapy tissue, but also restore the voice at the same time, and the operation technique is simple. The disadvantages of this method are the necessity for and complications of laparotomy operation, complications, and necrosis of free graft. If the adjustment is carried out according to the presence of voice restoration, age, and extent of cancer, the free ileocecal patch graft is useful for improving quality of life in patients after laryngectomy.
