title: [First stage speech reconstruction after total laryngectomy with the improved trachea-pharynx anastomosis].
abstract: OBJECTIVE
  To investigate the improved methods of first stage speech reconstruction after total laryngectomy.
  
  
  METHODS
  We improved the method of the first stage speech reconstruction after total laryngectomy with a low level tracheotomy, reconstruction of the glottis with the ahead mucous membrane of esophagus, making stoma at the incision of trachea, lifting and shrinking the cervical trachea and sewing up to the root of tongue. This novel method was adoptioned on 35 patients, the curative effect had been observed.
  
  
  RESULTS
  Among the 35 patients, 33 patients (94.29%) regained the phonation function to a different extent. Only 2 patients (5.71%) could not speak. Most patients got an articulate and fluent voice. All of the patients could take food by mouth without severe miss deglutition.
  
  
  CONCLUSIONS
  There are many excellences in our operation style. The success rate of the speech is higher, the quality of the speech is better and the rate of the miss deglutition is lower than the classical operation style of the speech reconstruction. It has no use for a factitious speech device and deserves to spread.
authors.affiliation: Department of Otorhinolaryngology, the Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, China.
authors.forename: Jianguang
authors.initials: J
authors.lastname: Lu
authors.forename: Huamin
authors.initials: H
authors.lastname: Guo
authors.forename: Chao
authors.initials: C
authors.lastname: Wang
authors.forename: Yuli
authors.initials: Y
authors.lastname: Xiao
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D010614:Pharynx / Q000601:surgery*; D013071:Speech, Alaryngeal; D014132:Trachea / Q000601:surgery*