Rehabilitation evaluation of Amatsu's tracheoesophageal shunt operation after total laryngectomy with sphincter mechanism.
- Author:
Jian-wu QIN
1
;
Lin WEI
;
Shan-ting LIU
;
Zhen-yu ZHENG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Female; Humans; Laryngeal Neoplasms; rehabilitation; Laryngectomy; rehabilitation; Male; Middle Aged; Postoperative Period; Speech, Alaryngeal; methods; Tracheostomy; rehabilitation
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2009;44(5):400-403
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate rehabilitation effect of Amatsu's tracheoesophageal shunt operation after total laryngectomy with sphincter mechanism.
METHODSVoice rehabilitation were performed for 60 cases with Amatsu's tracheoesophageal shunt operation after total laryngectomy with sphincter mechanism, in which 20 cases were involved in post-operation radiation therapy.
RESULTSFifty 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 unknown 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.
CONCLUSIONSAmatsu's tracheoesophageal shunt operation with sphincter mechanism brought effective speech rehabilitation results for total laryngectomy even with post-operation radiation therapy.
