Tracheo-Esophageal Shuntによる喉頭形成の検討

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タイトル別名
  • VOCAL REHABILITATION WITH A TRACHEO-ESOPHAGEAL SHUNT TECHNIQUE
  • Tracheo Esophageal Shunt ニヨル コウトウ ケイセイ

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抄録

Tracheoesophageal shunt technique which was first described by Calcaterra (1971) and Komorn (1973) was first used in Japan for vocal rehabilitation in 6 laryngectomized patients since 1975. Four of them acquired useful speech without serious aspiration or dysphagia. Tracheoesophgeal speech is superior to esophageal speech in duration of phonation and in formation of pitch. <br>A flap of 2 cm in width and 4 cm in length to make the shunt is suitable for the Japanese, and a tracheal meatus for the shunt is to be placed 1cm below the distal end of the trachea with a horizontal incision from I to 1.2 cm in the middle of the posterior wall of the trachea.

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