下咽頭癌に対する遊離空腸再建後のＴ‐Ｊシャントによる音声再建の試み

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  • Restoration of the Voice with a Tracheo-Jejunum(T-J) Shunt after Free Jejunum Graft Reconstruction.

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Free jejunum graft reconstruction, a technique for reconstructing the digestive tract following radical surgery to treat hypopharyngeal cancer, is advantageous because it causes relatively few complications such as necrosis, insufficient anastomosis, stenosis, etc. This technique has one disadvantage: it is difficult to provide a voice substitute through esophage-al speech.<BR>After radical surgery for hypopharyngeal cancer in a 60-year-old woman and free jejunum graft reconstruction, we attempted a direct T-J shunt operation by applying the direct T-E shunt technique that we have recently been using in our department in cases of advanced laryngeal cancer. The attempt was a succces, and the patient achieved agood voice substitute. This shunt operation is technically easy, and it takes only 20 minutes to secure a sufficient voice substitute. Therefore, we intend to continue this type of operation in the furture.

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