Roka R, Piza H, Ehrenberger K, Wicke W
Langenbecks Arch Chir. 1985;366:145-7. doi: 10.1007/BF01836619.
The fundamental concept in vocal rehabilitation after laryngectomy is the tracheo-hypopharyngeal shunt. The usual contemporary methods possess numerous disadvantages. In order to improve the results a syphon-fashioned shunt with free transplanted jejunum between the tracheal stump and the hypopharynx is created (stimulated by K. Ehrenberger). Aspiration can be avoided by means of the autonomic peristalsis of the implant. The procedure has been performed in 7 cases. One developed necrosis of the loop. The other patients possess a clear voice.
喉切除术后发声重建的基本概念是气管-下咽分流术。当代常用的方法有许多缺点。为了提高效果，设计了一种虹吸式分流术，在气管残端和下咽之间植入游离空肠（受K.埃伦贝格尔启发）。通过植入物的自主蠕动可以避免误吸。该手术已在7例患者中实施。1例出现肠袢坏死。其他患者声音清晰。
