Jejunal grafts for reconstructing a phonatory neoglottis in laryngectomized patients.
After laryngopharyngectomy and reconstruction of the upper digestive tract, a free jejunal graft can be anastomosed in an isoperistaltic direction end-to-end to the trachea and the hypopharynx in order to form a shunt for vocal rehabilitation. Following placement of the shunt, no special care is required nor does any patient show any aspiration. Because of a low-flow resistance of the shunt, patients so treated possess long-lasting phonation with loud and modulated voices.
D006801:Humans; D007013:Hypopharynx / Q000601:surgery; D007583:Jejunum / Q000637:transplantation*; D007825:Laryngectomy; D008722:Methods; D011183:Postoperative Complications; D013071:Speech, Alaryngeal / Q000379:methods*; D014132:Trachea / Q000601:surgery