METHOD FOR PROSTHETICS AFTER LARYNGECTOMY

摘要

medicine, ORL-oncology. SUBSTANCE: a silicone intubation tube with inflexible conductor curved at the angle of 120 deg. is directed into pharyngeal defect as a result of laryngectomy and further into esophageal lumen up to tracheostome level. Conductor is put forward out of the tube by protruding outwards the anterior esophageal wall and posterior tracheal wall. After that, with the help of scalpel one should resect posterior tracheal wall and anterior esophageal wall upon a conductor at the length of 5 mm. Into the hole developed it is necessary to direct distal end of the conductor. Then it is tightened with a dacron thread to be pulled up into pharyngeal defect. A glottal prosthesis is fixed to the thread. By pulling the thread in reverse direction it is installed in tracheoesophageal fistula. Pharyngeal defect is sutured. The method enables to simplify the technique and shorten the period of operation. EFFECT: higher efficiency. 4 dwg