Support for Patients with Tracheoesophageal (TE) Shunt Speech: Evaluation of Three Cases of Shunt Closure

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  • Masuyama Keisuke
    Department of Otorhinolaryngoloy, Suwa Chuo Hospital Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Yamanashi
  • Miyazaki Kyohko
    Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Yamanashi
  • Ishii Hiroki
    Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Yamanashi

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  • 気管食道シャント孔閉鎖症例から考えるシャント発声者への支援
  • キカン ショクドウ シャントコウ ヘイサ ショウレイ カラ カンガエル シャント ハッセイシャ エ ノ シエン

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Abstract

<p>In Europe and America, tracheoesophageal (TE) shunt speech is commonly used for voice restoration after total laryngectomy because of the high acquisition rate of speech. As TE shunt speech does not need any specific training and produces a natural voice, its use in Japan is gradually increasing. In addition, it seems to be an appropriate option for voice restoration in the increasing number of patients presenting with head and neck cancer due to aging of the population. However, several issues related to the procedure still need to be resolved. To date, we have conducted the TE shunt operation with Provox voice prosthesis in 47 post-laryngectomy subjects. Among them, TE shunt closure was performed for three cases. We herein present these cases and considered the issues related to shunt surgery, especially in aged patients. We found that a multi-professional team approach should be adopted for supporting these patients, and continued care and follow-up should be provided by the ENT surgeons performing shunt surgeries.</p>

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