J.Jpn. Surg. Soc.. 102(9): 659-662, 2001

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Feature topic

SURGICAL VOICE RESTORATION AFTER PHARYNGOLARYNGOESOPHAGECTOMY

Although pharyngolaryngoesophagectomy (PLE) offers the only reliable possibility for cure in patients with advanced carcinomas of the cervical esophagus, the majority must reconcile themselves to subsequent voicelessness. Various surgical methods for voice restoration have been devised to solve this problem. Among these methods, the most common following PLE are the tracheogastric shunt, double tracheo-esophagogastric shunt, elephant trunk-shaped tracheo-esophageal shunt, tracheo-jejunal shunt, and tracheo-ileocecal shunt. The basic premise of these procedures is to introduce expiratory air from the trachea into the reconstructed esophagus to produce voice without aspiration of liquid or food during deglutition. The resultant speech is acceptable in most patients.

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