Laryngeal diversion and tracheotracheal speech fistula for chronic aspiration.
Intractable aspiration is a life-threatening problem and often requires a procedure for blocking or separating the larynx from the bronchial tree. The disadvantage of these techniques is a compromise of phonation. We report the use of a speech fistula after laryngotracheal diversion to restore voice. It allows for the definitive treatment of aspiration, while maintaining the use of the vocal folds for phonation.
Wang
D
D
Division of Head and Neck Surgery, Geneva University Hospital, Switzerland.
Dulguerov
P
P
D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D007825:Laryngectomy; D007830:Larynx / Q000601:surgery*; D008297:Male; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011015:Pneumonia, Aspiration / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D013071:Speech, Alaryngeal; D014067:Tonsillar Neoplasms / Q000601:surgery; D014132:Trachea / Q000601:surgery*