[Retrospective analysis of tracheoesophageal shunt for voice reconstruction after total laryngectomy].
OBJECTIVE
To review the effect of tracheoesophageal shunt on voice reconstruction after total laryngectomy and prevention from deglutition disorders.


METHODS
Twenty-seven patients with laryngeal cancer were conducted an operation of tracheoesophageal shunt after total laryngectomy. The vertical voiced slit with a length of 1.0-1.5 cm was made between the posterior wall of trachea and frontal wall of esophagus, while the new epiglottis was made above tracheoesophageal shunt to prevent from deglutition disorders.


RESULTS
In this series, 23 of 27 patients kept good voice function, the successful rate was 85.2%. 22 of 23 patients avoided deglutition disorders, but 1 of 23 failed to do so. The 3-year and 5-year survival rate were 66.7% (18/27) and 48.1% (13/27), respectively.


CONCLUSIONS
The operation of tracheoesophageal shunt is advantageous to restore the voice function and prevent deglutition disorders.
Wang
Jianting
J
Department of Otorhinolaryngology, the Second Hospital, Shanxi Medical University, Taiyuan, 030001, China. tingjianwang@yahoo.com.cn
Zhao
Changqing
C
Liu
Xueren
X
Niu
Yumei
Y
D000368:Aged; D004825:Epiglottis / Q000601:surgery; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013072:Speech, Esophageal; D014132:Trachea / Q000601:surgery*; D016896:Treatment Outcome