Tanabe M, Honjo I, Isshiki N
Arch Otolaryngol. 1985 Jan;111(1):39-42. doi: 10.1001/archotol.1985.00800030073009.
Aspiration of saliva and food and postoperative stenosis of the shunt are not infrequent among laryngectomized patients who have undergone surgery for voice rehabilitation. A new technique for neoglottic reconstruction has been developed to overcome these complications. A neoglottis was created from the upper-tracheal rings to prevent postoperative stenosis and was also made to protrude into the esophagus, in order to prevent aspiration. This procedure has been performed on eight patients, seven of whom are speaking well and have no aspiration. Their speech is superior to esophageal speech when judged on the basis of duration and intelligibility. In one case, however, the neoglottis had to be closed because of aspiration.
在接受了嗓音康复手术的喉切除患者中，唾液和食物误吸以及术后分流狭窄并不少见。已开发出一种新的新声门重建技术来克服这些并发症。利用气管上段的环状软骨构建新声门以防止术后狭窄，并且使其突入食管以防止误吸。该手术已在8例患者中实施，其中7例患者言语良好且无误吸。从持续时间和清晰度判断，他们的言语优于食管言语。然而，在1例患者中，由于误吸不得不关闭新声门。
