Abstract
A new operation for constructing a neo-larynx has been devised using the upper parts of the trachea and oesophagus without using any extraneous inert material, following total laryngectomy. A full-thickness tongue-shape flap is raised from the posterior tracheal wall and is passed through a transverse slit in the anterior oesophageal wall into the oesophageal lumen. The newly created transverse cleft between the antero-inferior mucosa-lined surface of the tracheal flap above and inferior margin of the oesophageal slit with the incorporated cartilage bar below acts as the neo-glottis’. Because of the presence of mucosa on the free margins of the lips of the ‘neo-glottis’, chances of stenosis of the neo-glottis’ is minimised. The tracheal flap acts as the neo-epiglottis’.
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References
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Ghosh, P. (1980). Phonosurgery (seven contemplated varieties of construction of neolarynx), BiharJournal of Otolaryngology,1: 29.
Ghosh, P. (1984). Modification of transverse tracheo-cesophagoplasty,Indian Journal of Otolaryngology,36: 103.
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Ghosh, P. A new operation for construction of a neo-larynx. Indian J Otolaryngol 38, 64–66 (1986). https://doi.org/10.1007/BF03020142
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DOI: https://doi.org/10.1007/BF03020142