Kinishi M, Amatsu M, Tahara S, Makino K
Department of Otolaryngology-Head and Neck Surgery, Kobe University School of Medicine, Japan.
Ann Otol Rhinol Laryngol. 1991 Jun;100(6):435-8. doi: 10.1177/000348949110000601.
A primary tracheojejunal shunt operation was performed for voice restoration following pharyngolaryngoesophagectomy with free jejunum reconstruction for advanced hypopharyngeal cancer. A fistula was created between the membranous part of the trachea and the lower part of the transplanted jejunum. The membranous part of the trachea was tubed to construct the tracheojejunal shunt. All three patients who had the tracheojejunal shunt operation retained phonatory function. Pitch formation was seen in the voice waveform with use of the tracheojejunal shunt. No leakage was seen at all during deglutition and a swallowing function was obtained in all patients who had the tracheojejunal shunt.
对于晚期下咽癌行咽喉食管切除术并游离空肠重建术后的语音恢复，进行了一期气管空肠分流手术。在气管膜部与移植空肠下段之间形成瘘口。将气管膜部制成管状以构建气管空肠分流。接受气管空肠分流手术的所有三名患者均保留了发声功能。使用气管空肠分流时，语音波形中可见音高形成。所有接受气管空肠分流的患者在吞咽时均未见渗漏，且均获得了吞咽功能。
