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KMID : 0378019840270090149
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New Medical Journal
1984 Volume.27 No. 9 p.149 ~ p.155
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FOLLOW-UP STUDY OF THE NEOLARYNX
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Lee Sang-Hong
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Abstract
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Of the approximately 2,500 to 3,000, laryngectomies performed in the United States every year, about two third´s of these patients develop esophageal speech and some 18% of non-esophageal speakers learn to use the hand-held electric artificial larynx well.
The rest of laryngectomees are faced with the catastrophic prospect of a future without any practical means of communication.
For many years, specialists throughout the world have made every possible effort to discover a surgical means to solve one of the most difficult problems of conserving the voice, whenever radical laryngeal surgery is necessary.
Our experience with the tracheohypopharyngeal anastomosis at New York Eye and Ear infirmary since 1973 has been 8 cases with a successful rate of speech development.
Our experience with the tracheoesophageal fistula from 1978 to 1980 has been 16 patients.
We have modified the original technique of the Staffieri´s procedure.
I believe that laryngeal reconstructive surgery has been a step forward in the treatment of laryngeal cancer.
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KEYWORD
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