Yamamoto K
Arch Otolaryngol. 1980 Feb;106(2):70-3. doi: 10.1001/archotol.1980.00790260002002.
Vocal rehabilitation by a new one-stage tracheopharyngeal (TP) shunt procedure was done in eight laryngectomies. The procedure is summarized as follows. The horizontal parallel and a vertical lateral skin incision are made in the anterior part of the neck, and the medially and laterally based flaps are made. After laryngectomy, the TP tunnel is created with the medially based flap, and a functioning sphnicter is created by the thyropharyngeus muscle at the pharyngeal opening of the TP tunnel. The cervical defect is closed by the laterally based flap. Two patients experienced minor aspiration, and two had stenosis of the TP tunnel. The quality of the voice is hoarse and similar in quality to that produced by the Asai laryngoplasty.
采用一种新的一期气管咽（TP）分流术对8例喉切除患者进行了嗓音康复治疗。该手术总结如下。在颈部前方做水平平行和垂直外侧皮肤切口，制作内侧和外侧带蒂皮瓣。喉切除术后，用内侧带蒂皮瓣构建TP隧道，在TP隧道咽口处用咽下缩肌形成一个起作用的括约肌。颈部缺损用外侧带蒂皮瓣关闭。2例患者出现轻微误吸，2例TP隧道狭窄。嗓音质量嘶哑，与浅井喉成形术产生的嗓音质量相似。
