[Prevention and treatment for aspiration of tracheaesophageal shunt phonatory opening].
OBJECTIVE
Estimating the curative effective of the brim shape epiglottis plasty.


METHODS
A pedical cricoid cartilage flap has been built as well as the epiglottis after total laryngectomy, a downward concave face of the brim shape epiglottis above the phonatory opening from the posterior wall of the trachea and the anterior wall of the esophagus was made.


RESULTS
Of 26 cases undergoing this operation, 21/26 patients have not happened food aspiration, 2/26 cases died due to recurrence of the carcinoma, 3/26 cases missing connection following 2.0-5.0 years.


CONCLUSIONS
We consider this method not only avoided aspiration of the food but also is advantageous to the function of speech and swallowing in different degree.
Jiang
Lixin
L
Department of Otorhinolaryngology, Central Hospital of Huludao City, Huludao 125001.
D000368:Aged; D002356:Cartilage / Q000601:surgery; D004825:Epiglottis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged