Rehabilitation evaluation of Amatsu's tracheoesophageal shunt operation after total laryngectomy with sphincter mechanism
10.3760/cma.j.issn.1673-0860.2009.05.013
- VernacularTitle:Amatsu法发音重建术60例评价
- Author:
Jian-Wu QIN
1
;
Lin WEI
;
Shan-Ting LIU
;
Zhen-Yu ZHENG
Author Information
1. 河南省肿瘤医院
- Keywords:
Laryngectomy;
Tracheostomy;
Speech,alaryngeal
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2009;44(5):400-403
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate rehabilitation effect of Amatsu' s tracheoesophageal shunt operation after total laryngectomy with sphincter mechanism. Methods Voice rehabilitations were performed for 60 cases with Amatsu' s tracheoesophgea[shunt operation after total laryngectomy with sphincter mechanism, in which 20 cases were involved in post-operation radiation therapy. Results Fifty two (86.7%) cases developed speech with voice and swallow rehabilitation, but 1 case of them suffered water drip from his tracheoesophageal shunt when drinking. The other 8 (11.3%) cases developed swallow rehabilitation but failed in speech rehabilitation for pharyngeal fistula (4 cases,in which 1 had pre-operative radiation therapy), tracheoesophageal shunt obstruction (2 cases), dyspnea with unknowen reason (1 cases), no desire to speech(1 cases). Furthermore, all the 20 cases who were involved in post-operative radiative therapy restore their speech and swallow capability finally. Conclusions Amatsu's tracheoesophageal shunt operation with sphincter mechanism brought effective speech rehabilitation results for total laryngectomee even with pest-operation radiation therapy.
