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Videoradiography of free jejunal grafts for rehabilitation of speech in laryngectomized patients

Pokieser, P; Grasl, M C; Schima, W; Uranitsch, K; Piza-Katzer, H; Niederle, B; Ehrenberger, K; Ekberg, Olle LU and Tscholakoff, D (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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Radiologica
volume
36
issue
5
pages
469 - 473
publisher
John Wiley & Sons
external identifiers
  • pmid:7640088
  • scopus:0029374959
ISSN
1600-0455
language
English
LU publication?
yes
id
ce08d811-f31e-4563-b911-afb1feeca7d4 (old id 1109181)
date added to LUP
2008-07-25 14:54:55
date last changed
2017-01-01 06:47:01
@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    = {John Wiley & Sons},
  series       = {Acta Radiologica},
  title        = {Videoradiography of free jejunal grafts for rehabilitation of speech in laryngectomized patients},
  volume       = {36},
  year         = {1995},
}