Videoradiography of free jejunal grafts for rehabilitation of speech in laryngectomized patients
(1995) In Acta Radiologica 36(5). p.469-473- Abstract
- In laryngectomized patients a tracheo-esophageal artificial fistula can be used to achieve air flow from the trachea to the esophagus during speech. A one-way plastic valve is often used for the fistula. A free jejunal graft between the trachea and the esophagus can also be used. To avoid aspiration the transplant is attached to the submental area giving the graft a siphon-like shape. We performed 23 videoradiographic examinations using high-density barium in 14 such patients. The aim was to evaluate the protective function of these grafts against aspiration. Penetration of the bolus and a small amount of residual contrast material in the ascending limb of the graft was a normal finding. If the standard barium bolus reached the descending... (More)
- In laryngectomized patients a tracheo-esophageal artificial fistula can be used to achieve air flow from the trachea to the esophagus during speech. A one-way plastic valve is often used for the fistula. A free jejunal graft between the trachea and the esophagus can also be used. To avoid aspiration the transplant is attached to the submental area giving the graft a siphon-like shape. We performed 23 videoradiographic examinations using high-density barium in 14 such patients. The aim was to evaluate the protective function of these grafts against aspiration. Penetration of the bolus and a small amount of residual contrast material in the ascending limb of the graft was a normal finding. If the standard barium bolus reached the descending limb at any time during the examination, this was a sign of aspiration hazard. To avoid aspiration, the vertex of the speech siphon should be higher than the level of the hypopharyngeal anastomosis. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1109181
- author
- Pokieser, P ; Grasl, M C ; Schima, W ; Uranitsch, K ; Piza-Katzer, H ; Niederle, B ; Ehrenberger, K ; Ekberg, Olle LU and Tscholakoff, D
- organization
- publishing date
- 1995
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Radiologica
- volume
- 36
- issue
- 5
- pages
- 469 - 473
- publisher
- SAGE Publications
- external identifiers
-
- pmid:7640088
- scopus:84977045608
- ISSN
- 1600-0455
- language
- English
- LU publication?
- yes
- id
- ce08d811-f31e-4563-b911-afb1feeca7d4 (old id 1109181)
- date added to LUP
- 2016-04-01 15:47:54
- date last changed
- 2021-01-03 11:19:46
@article{ce08d811-f31e-4563-b911-afb1feeca7d4,
abstract = {{In laryngectomized patients a tracheo-esophageal artificial fistula can be used to achieve air flow from the trachea to the esophagus during speech. A one-way plastic valve is often used for the fistula. A free jejunal graft between the trachea and the esophagus can also be used. To avoid aspiration the transplant is attached to the submental area giving the graft a siphon-like shape. We performed 23 videoradiographic examinations using high-density barium in 14 such patients. The aim was to evaluate the protective function of these grafts against aspiration. Penetration of the bolus and a small amount of residual contrast material in the ascending limb of the graft was a normal finding. If the standard barium bolus reached the descending limb at any time during the examination, this was a sign of aspiration hazard. To avoid aspiration, the vertex of the speech siphon should be higher than the level of the hypopharyngeal anastomosis.}},
author = {{Pokieser, P and Grasl, M C and Schima, W and Uranitsch, K and Piza-Katzer, H and Niederle, B and Ehrenberger, K and Ekberg, Olle and Tscholakoff, D}},
issn = {{1600-0455}},
language = {{eng}},
number = {{5}},
pages = {{469--473}},
publisher = {{SAGE Publications}},
series = {{Acta Radiologica}},
title = {{Videoradiography of free jejunal grafts for rehabilitation of speech in laryngectomized patients}},
volume = {{36}},
year = {{1995}},
}