Vieira M B, Maia A F, Ribeiro J C
Department of Otolaryngology, Head and Neck Surgery, Hospital Felicio Rocho, Belo Horizonte, Brazil.
Auris Nasus Larynx. 1999 Jan;26(1):69-77. doi: 10.1016/s0385-8146(98)00065-0.
The Amatsu vocal rehabilitation technique is a tracheoesophageal shunt using a posterior tracheal flap associated with a sphincter made of esophageal muscular wall. Since march 1991 the procedure was done in 33 men and 2 women. ages ranging from 30 to 78 years. Previous radiotherapy, hypopharynx lesions, need for postoperative radiotherapy or use of myocutaneous flap were not considered contraindications. Vocalization was achieved in 76% of our patients and the quality was considered superior than that obtained by the esophageal voice. In only one case the shunt had to be closed surgically because of aspiration. In conclusion, the Amatsu tracheoesophageal shunt is an inexpensive technique that obtain a good quality of vocal rehabilitation in a high percentage of patients, it has few complications and it should be considered for all candidates to a laryngectomy, mainly for those with a good prognosis and a desire to return to their social environment.
天松氏嗓音康复技术是一种气管食管分流术，采用后气管瓣并结合由食管肌壁构成的括约肌。自1991年3月以来，该手术共施用于33名男性和2名女性，年龄在30至78岁之间。既往放疗、下咽病变、术后放疗需求或肌皮瓣的使用均不被视为禁忌证。76%的患者实现了发声，且发声质量被认为优于食管发音所获得的质量。仅1例因误吸而不得不通过手术关闭分流管。总之，天松氏气管食管分流术是一种成本低廉的技术，能使高比例患者获得良好的嗓音康复质量，并发症少，对于所有喉切除术候选者，尤其是预后良好且渴望回归社会环境的患者，均应考虑采用该技术。
