VOCAL REHABILITATION WITH A TRACHEO-ESOPHAGEAL SHUNT TECHNIQUE

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  • SAITO HITOSHI
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • TACHIBANA MASAYOSHI
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • MATSUI TAKASHI
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • NISHIMURA HIDEO
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • NAKAMURA AKIRO
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • YOSHIMURA MOTOAKI
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • SAITO AKIRA
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • MIZUKOSHI OSAMU
    Department of Otolaryngology, Kyoto Prefectural University of Medicine

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Other Title
  • Tracheo-Esophageal Shuntによる喉頭形成の検討
  • Tracheo Esophageal Shunt ニヨル コウトウ ケイセイ

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Abstract

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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