IMP' V '41111111 Historic Operation A Detroiter's transplant procedure gives a man his voice. ALAN ABRAMS Special to The Jewish News T hanks to former Detroiter Dr. Marshall Strome, a raspy "Hello" has ended 19 years of a man's life without the power of speech. Timothy Heidler, a 40-year-old Pennsylvania man, hadn't spoken without the aid of an electronic speech device since he was injured in a motorcycle accident in 1978. On Jan. 4, Strome led a team of 14 Cleveland Clinic physicians and nurs- es in performing a groundbreaking total larynx transplant on Heidler. Four days after the operation, Heidler said hello to Dr. Strome and the patient's girlfriend. He then said, "Hi, mom" to his mother. Dr. Strome, who is chairman of the Department of Otolaryngology and Communicative Disorders at the Cleveland Clinic, called the 12-hour surgery "technically perfect." Heidler received the larynx, or voicebox, and about 70 percent of the throat of a donor identified only as a man from Cincinnati who had been in good health. Like other transplants, laryngeal transplants require a donor organ that matches the recipient's blood and tissue types. It took several months for Strome to find the right donor larynx. The successful operation was the first larynx transplant performed at an American hospital. The only other known attempt at a human larynx transplant was in Belgium in 1969, and the cancer patient died after the operation. Strome said Heidler's new voice is not the one he had prior to his acci- dent, nor will it he the same as the unidentified donor's voice. Strome said Heidler, who is taking drugs to prevent his body from reject- ing the transplant, should be speaking in a normal voice in less than five patients who are free of cancer five months. He said there was a 70 per- years after their larynxes are removed. cent chance Heidler's new larynx The 56-year-old doctor first would function perfectly for the next revealed his plans to perform the his- five years, but cautioned his body toric operation in an interview in The could still reject the transplant up to Jewish News Nov. 28. 10 years from now Strome, who was born in Lynn, In what appeared to be another first Mass., moved to Detroit with his fam- in the historic surgery, the med- ily when his father, David, was Dr. Str ome, appointed vice president of the ical team also transplanted the right, leads thyroid to ensure that the Handleman Company, the his tea m in music distribution company. venous drainage from the larynx surgery. was satisfactory. Stephen Strome, the doctor's Heidler, who had wanted to be younger brother, is president a firefighter, was riding to a firefighting and CEO of the Handleman class when the accident happened. He Company, now based in Troy. The spent two years in a hospital, but local elder Strome is retired and lives in doctors were unable to restore his voice. Florida. Costs for the operation, which Dr. Strome graduated from Durfee Strome estimated in the hundreds and Intermediate and Cass Technical High thousands of dollars, were absorbed by schools before leaving for the University the Cleveland Clinic Foundation. of Michigan in 1957. He received both Strome told reporters that thou- his M.D. and M.S. degrees at U-M, sands of people could benefit from the and served residencies at Harper operation, especially throat cancer Hospital and U-M Hospital. ri I 1995 131