Summary
For surgical voice rehabilitation after pharyngolaryngectomy we use the technique of placing a siphonlike jejunal interposition in order to create a tracheohypopharyngeal shunt. In this paper we present the functional benefits of this method of voice rehabilitation. The best results achieved are compared with a normal voice using the following test parameters: electroacoustic sound analyses and voice status. The findings show that the siphon voice is adequate for everyday purposes and can achieve useful social verbal communication.
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References
Amatsu M (1980) A one stage surgical technique for postlaryngectomy voice rehabilitation. Laryngoscope 90:1378–1385
Bates GJ, McFeeker L, Thy BSP, Coman W (1990) Pharyngolaryngectomy and voice restoration. Laryngoscope 100: 1025–1026
Blom ED, Singer MJ, Hamaker RC (1982) Tracheostoma valve for postlaryngectomy voice rehabilitation. Ann Otol 91:576
Böhme G, Clasen B (1989) Comparison studies on the quality of the esophagus voice following laryngectomy: insufflation test and reverse speech audiometry. HNO 37:358–364
Coleman JJ III, Searles JM, Roderick Hester T, Nahai J, Zubowicz V, McConnel FMS, Juriewicz MJ (1987) Ten years experience with the free jejunal autograft. Am J Surg 154:394–398
Ehrenberger K, Wicke W, Piza H, Roka R, Grasl M, Swoboda H (1985) Jejunal grafts for reconstructing a phonatory neoglottis in laryngectomized patients. Arch Otorhinolaryngol 242:217–223
Gussenbauer C (1874) Über die erste durch Th. Billroth am Menschen durchgefiihrte Kehlkopf-Exstirpation und die Anwendung eines künstlichen Kehlkopfes. Arch Klin Chir 17:343–356
Hagen R (1990) Laryngoplasty with a radialis pedicle flap from the forearm: a surgical procedure for voice rehabilitation after total laryngectomy. Am J Otolaryngol 11:85–89
Herrmann IF, Koss W (1986) Experience with the ESKA-Herrmann tracheostoma valve. In: Hermann IF (ed) Speech restoration via voice prostheses. Springer, Berlin Heidelberg New York, pp 184–186
Kinishi M, Tahara S, Amatsu M, Makino K (1991) Primary tracheojejunal shunt operation for voice restoration following pharyngolaryngoesophagectomy. Ann Otol Rhinol Laryngol 100:435–438
Mayer B (1991) Connector technology: rapid transfer of microsurgical free flaps for reconstruction in the head and neck region. Laryngol Rhinol Otol 70:430–435
Meyer H-J, Schmidt N (1991) Clinical application of microsurgical revascularized transplants. HNO 39:212–217
Purcell L, Floyd LR, LaBlance G, Paniello RC, Haughey BB (1991) Speech following laryngectomy with jejunal flap and tracheohypopharyngeal puncture. Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery, Kansas City. Otolaryngol Head Neck Surg 105(2):291
Schultz-Coulon H-J (1991) The jejunal transplant. A progress in therapy? HNO 30:203–207
Seidenberg B, Rosenak S, Hurwitt E, Som ML (1959) Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment. Ann Surg 149:162–171
Singer M, Blom E (1980) An endoscopic technique for restoration of voice after laryngectomy. Ann Otol 89:529–533
Staffieri N (1973) Laryngectomia totale con riconstruzione di “glottide fonatoria”. Nuovo Arch Ital ORL 1:181–198
18.Staffieri N, Serafini I (1976) La riabilitazione chirurgica della voce e della respirazione dopo laringectomia totale. Relazione 29. Congresso Nazionale Societa Italiana ORL e AAOI, Bologna. Mattioli, Fidenza, pp 1–122
Williams S, Watson JB (1987) Speaking proficiency variations according to method of alaryngeal voice. Laryngoscope 97: 737–739
Yanagihara N (1967) Significance of harmonic changes and noise components in hoarseness. J Speech Res 10:531–541
Ziesman M, Boyd B, Manktelow R (1989) Speaking jejunum after laryngopharyngectomy with neoglottic and neopharyngeal reconstruction. Am J Surg 158:321–323
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Denk, D.M., Grasl, M.C., Frank, F. et al. Surgical voice rehabilitation after laryngopharyngectomy. Eur Arch Otorhinolaryngol 249, 248–252 (1992). https://doi.org/10.1007/BF00714486
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DOI: https://doi.org/10.1007/BF00714486