Biomaterial Database

[Surgical voice rehabilitation after laryngectomy by a modification of the Asai procedure]. 1994

H Maier, and H Weidauer

Universitäts-HNO-Klinik Heidelberg.

A new technique of primary neoglottic reconstruction for surgical restoration of voice following total laryngectomy is described in detail. The procedure is based on the principle of Asai's technique, but can be performed as a one-step procedure. Within the last 2 years, the technique has been used in 20 patients with T2-T4 tumors without subglottic extensions and without extensive infiltration of the hypopharyngeal mucosa. The mean period of observation was 14.2 +/- 5.5 months. In two patients the speech fistula had to be removed because of aspiration problems, while six patients required dilatations of the fistula because of stenosis. As a long-term result a satisfactory voice was achieved without aspiration problems in 17 of 20 patients.

UI	MeSH Term	Description	Entries
D007013	Hypopharynx	The bottom portion of the pharynx situated below the OROPHARYNX and posterior to the LARYNX. The hypopharynx communicates with the larynx through the laryngeal inlet, and is also called laryngopharynx.	Laryngopharynx,Hypopharynges,Hypopharynxes,Laryngopharynges,Laryngopharynxes
D007822	Laryngeal Neoplasms	Cancers or tumors of the LARYNX or any of its parts: the GLOTTIS; EPIGLOTTIS; LARYNGEAL CARTILAGES; LARYNGEAL MUSCLES; and VOCAL CORDS.	Cancer of Larynx,Laryngeal Cancer,Larynx Neoplasms,Cancer of the Larynx,Larynx Cancer,Neoplasms, Laryngeal,Cancer, Laryngeal,Cancer, Larynx,Cancers, Laryngeal,Cancers, Larynx,Laryngeal Cancers,Laryngeal Neoplasm,Larynx Cancers,Larynx Neoplasm,Neoplasm, Laryngeal,Neoplasm, Larynx,Neoplasms, Larynx
D007825	Laryngectomy	Total or partial excision of the larynx.	Laryngectomies
D009367	Neoplasm Staging	Methods which attempt to express in replicable terms the extent of the neoplasm in the patient.	Cancer Staging,Staging, Neoplasm,Tumor Staging,TNM Classification,TNM Staging,TNM Staging System,Classification, TNM,Classifications, TNM,Staging System, TNM,Staging Systems, TNM,Staging, Cancer,Staging, TNM,Staging, Tumor,System, TNM Staging,Systems, TNM Staging,TNM Classifications,TNM Staging Systems
D011015	Pneumonia, Aspiration	A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.	Acid Aspiration Syndrome,Aspiration Pneumonia,Gastric Acid Aspiration Syndrome,Mendelson Syndrome,Mendelson's Syndrome,Acid Aspiration Syndromes,Aspiration Pneumonias,Mendelsons Syndrome,Pneumonias, Aspiration,Syndrome, Acid Aspiration,Syndrome, Mendelson,Syndrome, Mendelson's,Syndromes, Acid Aspiration
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013065	Speech Intelligibility	Ability to make speech sounds that are recognizable.	Intelligibilities, Speech,Intelligibility, Speech,Speech Intelligibilities
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