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Speech restoration post-pharyngolaryngoesophagectomy using tracheogastric fistula
K Izdebski1, J C Ross, D Hetzler
1Pacific Presbyterian Medical Center, San Francisco, California 94120.
Journal of Rehabilitation Research and Development
|January 1, 1988
Abstract:
Restoration of voice and speech in patients with gastric pull-up presents a formidable challenge, and many of these patients are left at best with a poorly functional electrolaryngeal speech. To improve this condition, a tracheogastric puncture stented with a biflanged self-retaining Groningen voice button was accomplished, resulting in gastric mucosa vibrations during exhalatory phase. The biomechanical characteristics of gastric vibrations and tracheogastric puncture candidate selection criteria are discussed.