VOICE REHABILITATION WITH THE JEJUNUM SIP HON USING A BIVENTER PLASTIC TO AVOID ASPIRATION

The principle of operative voice rehabilitation after laryngectomy con sists in forming a shunt between trachea and hypopharynx. The results of voice rehabilitation are generally good. Aspiration is the main dis advantage of this method, which negatively affects the quality of life . We modified the jejunum siphon of Ehrenberger and used this shunt op eration mostly in total pharyngolaryngectomies. To avoid aspirations w e formed a rein from both sides of the neck using the m. biventer. Thi s rein hold the knee of the siphon and acts as a sphincter when the pa tient swallows, because the contractility of this muscle is preserved. We present this new method and compare the results of the first seven patients with those of the patients who were operated on without a re in from the m. biventer.