Saito H, Matsui T, Tachibana M, Nishimura H, Mizukoshi O
Arch Otorhinolaryngol. 1977 Dec 20;218(1-2):135-42. doi: 10.1007/BF00469741.
The tracheoesophageal (T-E) shunt technique reported by Komorn et al. (1973) was used for vocal rehabilitation in 8 laryngectomized patients including one case of hypopharyngeal cancer. It was proved that this technique was a simple one-stage procedure with a low incidence of complication. Four out of 7 patients, excluding one patient who died of another disease, acquired excellent speech without symptomatic aspiration. Two patients developed fairly good speech. One shunt was closed by aspiration. The shunt constructed by a flap measuring 2 x 4 cm, opened 1 cm below the distal end of the trachea, showed good results. The T-E shunt speech exceeds esophageal speech in duration and intelligibility.
Komorn等人（1973年）报告的气管食管（T-E）分流技术用于8例喉切除患者的嗓音康复，其中包括1例下咽癌患者。事实证明，该技术是一种简单的一期手术，并发症发生率低。在7例患者中，除1例死于其他疾病外，4例获得了良好的言语能力且无呛咳症状。2例患者言语能力较好。1例分流因误吸而闭塞。由一块2×4厘米的皮瓣构建的分流，在气管远端下方1厘米处开口，效果良好。T-E分流言语在持续时间和清晰度方面超过食管言语。
