[Voice rehabilitation using tissue flap of trachea and esophagus].
A downward facing tissue flap from the posterior wall of trachea and the anterior wall of esophagus was made after total laryngectomy, then inserted into the esophageal cavity to form a fistula. In order to cover the fistular opening and also to avoid food aspiration, 2-3 mm of the valvular tip must be kept. Of 11 cases undergoing this operation, 5 patients obtained a good vocalization, a comparative dysphonia occurred in 3 patients and another 3 patients got a esophageal voice due to shut of their fistulae. We consider this method a rather simple one, vocalization can recover easily without any special training, and also there were few complications will emerge.
Wang
Z
Z
Huabei Oil Hospital, Hebei.
Qu
S
S
Zhang
S
S
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D013071:Speech, Alaryngeal; D013524:Surgical Flaps; D014132:Trachea / Q000601:surgery; D014827:Vocal Cords