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Newer technique of tracheoesophageal fistula for vocal rehabilitation after total laryngectomy. 1985

A J Maniglia

In 1982, we published a new technique to create a tracheoesophageal (TE) fistula, using the combination of an endotracheal tube and a flexible fiberoptic nasopharyngolaryngoscope. An even more simple technique using a fenestrated metal Yankauer Tonsillar suction is now introduced. This technique allows for the TE fistula to be made by any level of the tracheo-esophageal junction. It is easily done with topical and local anesthesia with the patient sitting on the otolaryngology examination chair. The method described has been used in 25 consecutive cases with no complications.

UI MeSH Term Description Entries
D007831 Larynx, Artificial A device, activated electronically or by expired pulmonary air, which simulates laryngeal activity and enables a laryngectomized person to speak. Examples of the pneumatic mechanical device are the Tokyo and Van Hunen artificial larynges. Electronic devices include the Western Electric electrolarynx, Tait oral vibrator, Cooper-Rand electrolarynx and the Ticchioni pipe. Artificial Larynx,Laryngeal Prosthesis,Voice Prosthesis,Artificial Larynges,Laryngeal Prostheses,Larynges, Artificial,Prostheses, Laryngeal,Prostheses, Voice,Prosthesis, Laryngeal,Prosthesis, Voice,Voice Prostheses
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D013071 Speech, Alaryngeal Methods of enabling a patient without a larynx or with a non-functional larynx to produce voice or speech. The methods may be pneumatic or electronic. Voice Production, Alaryngeal,Alaryngeal Speech,Alaryngeal Voice Production,Alaryngeal Voice Productions,Production, Alaryngeal Voice,Productions, Alaryngeal Voice,Voice Productions, Alaryngeal
D014132 Trachea The cartilaginous and membranous tube descending from the larynx and branching into the right and left main bronchi. Tracheas

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