Document Detail

Arytenoid vocal shunt in laryngectomized patients.
MedLine Citation:
PMID:  1142959     Owner:  NLM     Status:  MEDLINE    
A method is presented for forming short, mucosa-lined vocal shunt in cases of supracricoid laryngectomy with preservation of one or two arytenoids, or the interarytenoid fold alone. On the basis of radiologic and particularly radiocinematographic examinationion of the anterior pharyngeal wall is of paramount importance. In cases of complete absence of leakage, said wall lies in the plane of the arytenoids or somewhat posteriorly. After simple supracricoid laryngectomy it is possible to prevent aspiration also by translocation of the anterior pharyngeal wall into the plane of the cricoid cartilage plate. The clinical experience with this supracricoid shunt is still scanty. Of 25 cases with the arytenoid vocal shunt, phonation was possible in 22 cases under the expiratory pressure of 20-45 cm H2O; in one under the more elevated pressure, and in the last two the result is still not known. Loudness of speech was 70-100 db and its comprehensibility 73-90 percent. Complete absence of leakage was observed in 17 cases, "practical" prevention of aspiration (some drops of thin fluids, no saliva) in seven cases, profuse leakage in one case (ceased after correction), In the last 10 consecutive cases the problem of aspiration was completely eliminated. Advantages and disadvantages of our own method in comparison with Asai's method have been presented.
E S Mozolewski; E Zietek; R Wysocki; K Jach; W Jassem
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  The Laryngoscope     Volume:  85     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1975 May 
Date Detail:
Created Date:  1975-10-10     Completed Date:  1975-10-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  853-61     Citation Subset:  IM    
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MeSH Terms
Laryngeal Cartilages / physiology,  surgery*
Laryngeal Neoplasms / rehabilitation*,  surgery
Laryngectomy / methods*
Pharynx / physiology,  surgery*

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