Voice Rehabilitation Following Laryngectomy: Myomucosal Tracheoesophageal Shunt

Marshall Strome, Thomas A. Mustoe, James H. Kelly

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Surgical procedures for speech rehabilitation following laryngectomy lack wide support owing to tumor recurrence, aspiration, stenosis of the fistula, and multiple surgical stages of limited usefulness in irradiated patients. The recent prostheses and their modifications have approximately a 70% success rate but similarly remain limited by the requisite maintenance and soilage. A mucosa-lined tracheoesophageal fistula with a functioning proximal muscle sphincter, created in one stage at laryngectomy, is described. This myomucosal unit can function with or without a prosthesis and potentially eliminates aspiration. Evolution of the flap design in an animal model is delineated and the clinical trial in six patients highlighted. Five of the six have an excellent vocal quality without an associated air leak on phonation. Three function without a prosthesis. (Arch Otolaryngol Head Neck Surg 1986;112:1168-1171)

Original languageEnglish (US)
Pages (from-to)1168-1171
Number of pages4
JournalArchives of Otolaryngology--Head and Neck Surgery
Issue number11
StatePublished - Nov 1986
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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