[One-stage voice rehabilitation in total laryngectomy]

The posterior wall of the upper trachea was used to make a T-E shunt. An intelligible shunt speech could thus develop two weeks postoperatively. This procedure is reliable, easy and safe, and is applicable in almost all of total laryngectomy cases. A big horizontal tuck-situated above the shunt and made of mucous membrane of the inferior pharyngeal wall and the posterior cricoid was helpful in preventing aspiration.