Long-term results of one stage tracheoesophageal end-side anastomosis voice restoration after total laryngectomy
The purpose of this study is to discuss long-term results of one different kind of voice restoration after total laryngectomy with 10 years experience. One stage tracheoesophageal end-side anastomosis after total laryngectomy was performed in 36 patients from 1991-1996. The key technique of this ope...
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Published in | Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology Vol. 16; no. 9; p. 462 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | Chinese |
Published |
China
01.09.2002
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Subjects | |
Online Access | Get more information |
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Summary: | The purpose of this study is to discuss long-term results of one different kind of voice restoration after total laryngectomy with 10 years experience.
One stage tracheoesophageal end-side anastomosis after total laryngectomy was performed in 36 patients from 1991-1996. The key technique of this operation is to make a tongue-ship flap(1.5 cm x 1.5 cm-1.8 cm x 1.5 cm) with tracheal membranous part and dissect it from the esophagus to 1 cm below the upper incisal margin of trachea. Then a 0.8 cm middle vertical incision was made on the lowest anterior wall of the separated esophagus. Folding the tongue-ship flap posteriorly to approximate the esophagus incision and make an end-side anastomosis. Close the upper incisal margin of trachea with left to right direction suture. The follow up time is 5 - 10 year. One lost follow 2.5 years later and was judged as dead.
The short-term and long-term success rate were 69% (25/36) and 83% (30/36) respectively. The 3-, 5- and 10 year survival rate are 72%, 69%, 69%, respect |
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