Skip to main content
Log in

Surgical voice rehabilitation after laryngopharyngectomy

Functional results of tracheo-hypopharyngeal shunts by jejunal transplantation

  • Original Investigations
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Amatsu M (1980) A one stage surgical technique for postlaryngectomy voice rehabilitation. Laryngoscope 90:1378–1385

    Google Scholar 

  2. Bates GJ, McFeeker L, Thy BSP, Coman W (1990) Pharyngolaryngectomy and voice restoration. Laryngoscope 100: 1025–1026

    Google Scholar 

  3. Blom ED, Singer MJ, Hamaker RC (1982) Tracheostoma valve for postlaryngectomy voice rehabilitation. Ann Otol 91:576

    Google Scholar 

  4. 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

    Google Scholar 

  5. 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

    Google Scholar 

  6. 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

    Google Scholar 

  7. 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

    Google Scholar 

  8. 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

    Google Scholar 

  9. 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

    Google Scholar 

  10. 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

    Google Scholar 

  11. 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

    Google Scholar 

  12. Meyer H-J, Schmidt N (1991) Clinical application of microsurgical revascularized transplants. HNO 39:212–217

    Google Scholar 

  13. 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

    Google Scholar 

  14. Schultz-Coulon H-J (1991) The jejunal transplant. A progress in therapy? HNO 30:203–207

    Google Scholar 

  15. 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

    Google Scholar 

  16. Singer M, Blom E (1980) An endoscopic technique for restoration of voice after laryngectomy. Ann Otol 89:529–533

    Google Scholar 

  17. Staffieri N (1973) Laryngectomia totale con riconstruzione di “glottide fonatoria”. Nuovo Arch Ital ORL 1:181–198

    Google Scholar 

  18. 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

  19. Williams S, Watson JB (1987) Speaking proficiency variations according to method of alaryngeal voice. Laryngoscope 97: 737–739

    Google Scholar 

  20. Yanagihara N (1967) Significance of harmonic changes and noise components in hoarseness. J Speech Res 10:531–541

    Google Scholar 

  21. Ziesman M, Boyd B, Manktelow R (1989) Speaking jejunum after laryngopharyngectomy with neoglottic and neopharyngeal reconstruction. Am J Surg 158:321–323

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00714486

Key words

Navigation