Simple Mucodermal Tracheoesophageal Shunt Method for Voice Restoration

Tracheoesophageal Shunt Method With Omohyoid Muscle Loop for Voice Restoration

“…A 5 mm-wide film drain was inserted through the shunt and left for 14 days to maintain the patency of the shunt. 7 The bilateral omohyoid muscles were preserved at the total laryngectomy site. The bilateral omohyoid muscles were looped through each other beneath the TE shunt.…”

“…2003;129:321-323 T HERE HAVE been many surgical methods of tracheoesophageal (TE) shunt after total laryngectomy for voice restoration. [1][2][3][4][5][6][7] Among them, TE puncture with the use of voice prosthesis has been widely accepted in recent years, 8 and 2 different types of prostheses have been developed: nonindwelling type, 4 which can be removed and replaced by the patient, and indwelling type, which has to be managed by a clinician. [9][10][11] However, TE shunt without using a prosthesis still presents problems such as aspiration, stenosis, and technical difficulties.…”

Reconstruction of the pharyngoesophagus with voice restoration

“…3 For these patients, shunts between the reconstructed esophagus and trachea were created for expiratory dependent vocalization. [4][5][6][7][8][9][10][11][12][13][14][15] Although the tracheo-neoesophageal shunt is a possible solution for voice restoration after pharyngolaryngoesophagectomy, regurgitation through the reconstructed shunt easily leads to aspiration pneumonia. Therefore, prevention of reflux to the airway is essential in all reconstructive methods for tracheo-neoesophageal shunt.…”

“…Therefore, prevention of reflux to the airway is essential in all reconstructive methods for tracheo-neoesophageal shunt. [4][5][6][7][8][9][12][13][14] This article reviews previous methods restoring speech function following pharyngolaryngoesophagectomy. In addition we introduce our speech restoration techniques using free jejunum transfer.…”

“…In 1984, Saito et al 4 reported the tracheao-gastric (T-G) tube shunt. The T-G shunt is created with a full thickness gastric mucosal flap measuring 2 ¥ 6 cm elevated on the anterior side of the greater curvature of the gastric tube and sutured to create a shunt tube connecting to the posterior wall of the trachea 1 cm inferior to the tracheal opening.…”