Excellent speech can be produced by diverting expired pulmonary air to the pharynx through a tracheopharyngeal fistula. This study contributes basic information regarding the selection and fate of autogenous skin-lined tubes created for this purpose in a standardized fashion in pigs. Our specific objectives were to determine (1) the best cutaneous autograft for constructing a 6- to 7-cm skin-lined tube, (2) the airflow resistance of surviving skin-lined tubes, and (3) the effect of salivary contamination on the survival of tube grafts.
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References
1.
Cancer Statistics, 1976. CA26:14–29, 1976.
2.
AsaiR: Laryngoplasty after total laryngectomy. Arch Otolaryngol95: 114–119, 1972.
3.
ConleyJ: Surgical techniques for the vocal rehabilitation of the postlaryngectomized patient. Trans Am Acad Ophthalmol Otolaryngol73: 288–299, 1969.
4.
KomornRM: Vocal rehabilitation in the laryngectomized patient with a tracheoesophageal shunt. Ann Otol Rhinol Laryngol83: 445–451, 1974.
5.
StaffieriM: Laryngectomie totale avec reconstitution de la glotte phonatoire. Rev Laryngol Otol Rhinol95: 63–83, 1974.
6.
ArslanM, SerafiniI: La laryngectomie totale avec retablissement de la phonation et de la respiration naturelles: Premiers résultats (4 cas). Ann Otolaryngol Chir Cervicofac87: 509–518, 1970.
7.
TaubS, BergnerLH: Air bypass voice prosthesis for vocal rehabilitation of laryngectomees. Am J Surg125: 748–756, 1973.
8.
EdwardsN: Post-laryngectomy vocal rehabilitation: Preliminary report of a one-stage method using expired air and a valved prosthesis. J Laryngol Otol88: 905–918, 1974.
9.
SheddD, BakamjianV, SakoK: Reed-fistula method of speech rehabilitation after laryngectomy. Am J Surg124: 510–514, 1972.
10.
LockhartHB: The surgical rehabilitation of the laryngectomized patient: An experimental study. Laryngoscope72: 1585–1595, 1962.
11.
CalcaterraTC, JafekBW: Tracheo-esophageal shunt for speech rehabilitation after total laryngectomy. Arch Otolaryngol94: 124–128, 1971.
12.
SerafiniI: Restoration of laryngeal function after laryngectomy: Experimental research in animals. Bibl Otorhinolaryngol16: 95–122, 1969.
13.
OguraJH, ShumrickDA, LapidotA: Some observations on experimental laryngeal substitution in laryngectomized dogs. Ann Otol Rhinol Laryngol71: 532–550, 1962.
