title: [Post-laryngectomy vocal rehabilitation with a tracheophypopharyngeal shunt (author's transl)].
abstract: Oesophageal speech is the accepted method of post-laryngectomy speech rehabilitation, but still has a high failure rate. Among the different surgical procedures that create a tracheo-oesophageal fistula the method of Komorn based on a concept of Conley appears to have the greatest theoretical advantages. In this procedure a fistula is created with its inferior opening into the oesophagus and its superior opening into the trachea. Komorn's technique has been utilized in a modified form in 12 patients and in 6, because of wound problems, useful speech was not achieved. Five patients have achieved excellent speech without difficulty.
mesh_terms: D005931:Glottis; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects*; D009155:Mutism / Q000209:etiology / Q000534:rehabilitation*; D013518:Surgery, Plastic
vernacular_title: Die chirurgische Rekonstruktion der phoniatrischen Glottis nach totaler Laryngektomie.