Long-term results of one stage tracheoesophageal end-side anastomosis voice restoration after total laryngectomy

• Published in: Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology Vol. 16; no. 9; p. 462
• Main Authors: Wu, Yanqiao, Shang, Yaodong, Zhou, Yongqing, Tao, Zhen feng, Li, Qi, Di, Bin, Xiao, Shu fen, Song, Qi, Zhao, Guoqing
• Format: Journal Article
• Language: Chinese
• Published: China 01.09.2002
• Subjects: Adult; Aged; Anastomosis, Surgical - methods; Esophagus - surgery; Female; Follow-Up Studies; Humans; Laryngeal Neoplasms - surgery; Laryngectomy - methods; Laryngectomy - rehabilitation; Male; Middle Aged; Reconstructive Surgical Procedures; Speech, Alaryngeal - methods; Trachea - surgery; Treatment Outcome

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