Abstract:
Reconstruction of the defect created after total laryngo-pharyngo-esophagectomy has been one of the challenging task for the head and neck surgeons. There is a lot of debate among the different workers regarding the best method for such reconstruction. Many believe that gastric pull up is still one of the best option in such cases. We are presenting a case of 50 years old lady with extensive squamous cell carcinoma of the hypopharynx which was also involving the larynx and the cervical esophagus. Total laryngo-pharyngo-esophagectomy was done as a primary treatment. For reconstruction of the defect gastric pull up operation was done. Post-operative recovery was uneventful with no major complication. Adjuvant radiation therapy was also given post-operatively. During the follow up period of 6 months, patient was completely alright with almost normal oral feeding and no recurrence of the disease.