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- Title
Long-term results of Amatsu tracheoesophageal shunt: Follow-up of more than 5 years.
- Authors
Matsui, Hidetoshi; Iwae, Shigemichi; Hirayama, Yuji; Yonezawa, Koichiro; Shigeji, Jun
- Abstract
<bold>Background/objective: </bold>The Amatsu tracheoesophageal shunt (ATES) represents a nonprosthesis surgical option for voice restoration in laryngectomized patients. However, data regarding the long-term efficacy of ATES are lacking.<bold>Study Design: </bold>Retrospective, single-institution study.<bold>Methods: </bold>Between 2001 and 2010, 16 patients with laryngeal cancer underwent total laryngectomy with ATES at the Hyogo Cancer Center (Akashi, Hyogo, Japan). Of these, 11 achieved long-term tracheoesophageal speech that was maintained for a follow-up exceeding 5 years (range 75-161 months; median 95 months). All patients were male and ranged from 46 to 74 years of age at the time of ATES surgery.<bold>Results: </bold>Of 11 eligible patients, eight were able to speak intelligibly with ATES at last follow-up. Regarding aspiration, three patients experienced no leakage, and six experienced mild leakage of saliva without medical intervention at last follow-up. Almost all patients maintained an unchanged degree of voice quality (9 of 11) and leakage (8 of 11).<bold>Conclusion: </bold>The favorable voice restoration and low aspiration rates achieved in this study appear to support the long-term efficacy of ATES.<bold>Level Of Evidence: </bold>4. Laryngoscope, 128:1395-1397, 2018.
- Subjects
JAPAN; LARYNGEAL cancer patients; LARYNGEAL cancer treatment; LARYNGECTOMY; SALIVA; PROSTHETICS; HUMAN voice; ALARYNGEAL speech; ARTIFICIAL larynges; CANCER treatment; LARYNGEAL tumors; EVALUATION of medical care; PANEL analysis; TIME; SPECIALTY hospitals; RETROSPECTIVE studies; PSYCHOLOGY
- Publication
Laryngoscope, 2018, Vol 128, Issue 6, p1395
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.26916