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  • Title: [Voice rehabilitation using tissue flap of trachea and esophagus].
    Author: Wang Z, Qu S, Zhang S.
    Journal: Zhonghua Er Bi Yan Hou Ke Za Zhi; 1995; 30(6):359-60. PubMed ID: 8762529.
    Abstract:
    A downward facing tissue flap from the posterior wall of trachea and the anterior wall of esophagus was made after total laryngectomy, then inserted into the esophageal cavity to form a fistula. In order to cover the fistular opening and also to avoid food aspiration, 2-3 mm of the valvular tip must be kept. Of 11 cases undergoing this operation, 5 patients obtained a good vocalization, a comparative dysphonia occurred in 3 patients and another 3 patients got a esophageal voice due to shut of their fistulae. We consider this method a rather simple one, vocalization can recover easily without any special training, and also there were few complications will emerge.
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