title: Speech restoration post-pharyngolaryngoesophagectomy using tracheogastric fistula.
abstract: Restoration of voice and speech in patients with gastric pull-up presents a formidable challenge, and many of these patients are left at best with a poorly functional electrolaryngeal speech. To improve this condition, a tracheogastric puncture stented with a biflanged self-retaining Groningen voice button was accomplished, resulting in gastric mucosa vibrations during exhalatory phase. The biomechanical characteristics of gastric vibrations and tracheogastric puncture candidate selection criteria are discussed.
authors.affiliation: Pacific Presbyterian Medical Center, San Francisco, California 94120.
authors.forename: K
authors.initials: K
authors.lastname: Izdebski
authors.forename: J C
authors.initials: JC
authors.lastname: Ross
authors.forename: D
authors.initials: D
authors.lastname: Hetzler
authors.forename: J
authors.initials: J
authors.lastname: Fontanesi
authors.forename: P
authors.initials: P
authors.lastname: Krumpe
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D006801:Humans; D007825:Laryngectomy; D007831:Larynx, Artificial; D008297:Male; D010611:Pharyngectomy; D012086:Reoperation; D013270:Stomach / Q000601:surgery*; D014132:Trachea / Q000601:surgery*