caa a22 4500 386348278 CHVBK 20180307111819.0 cr unu---uuuuu 161130e198905 xx s 000 0 eng 10.1017/S0022215100156725 doi S0022215100156725 pii (NATIONALLICENCE)cambridge-10.1017/S0022215100156725 Subtotal laryngectomy with myomucosal shunt [Elektronische Daten] This is a modified subtotal laryngectomy. On the tumour-free side of the larynx, some posterior structures, with their neurovascular supply are preserved. The endolaryngeal mucosa is tubed in continuity with the trachea below and projects into the pharynx above. Thus a myomucosal shunt is formed. Air is directed into it by finger occlusion of the tracheal stoma. The voice production is highly satisfactory. Aspiration is prevented by constriction of the thyroarytenoid muscle which provides a valved upper end of the tube. The possibility of leaving tumour in the laryngeal remnant is eliminated by careful selection of patients, and re-confirmation of tumour extent intra-operatively and a frozen section. Eleven such operations have been performed since October 1983 for squamous cell carcinoma, some previously irradiated. None of the patients had local recurrence. Only one had an aspiration problem which later resolved. All acquired a satisfactory voice Copyright © JLO (1984) Limited 1989 Chandrachud H. R. Consultant in Otolaryngology; Department of Otolaryngology, Gartnavel General Hospital, Glasgow. Chaurasia M. K. Registrar in Otolaryngology; Department of Otolaryngology, Gartnavel General Hospital, Glasgow. Sinha K. P. Erstwhile Registrar in Otolaryngology; Department of Otolaryngology, Gartnavel General Hospital, Glasgow. The Journal of Laryngology & Otology Cambridge University Press 103/5(1989-05), 504-507 0022-2151 103:5<504 1989 103 JLO https://doi.org/10.1017/S0022215100156725 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0022215100156725 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chandrachud H. R. Consultant in Otolaryngology; Department of Otolaryngology, Gartnavel General Hospital, Glasgow NATIONALLICENCE 700 1- Chaurasia M. K. Registrar in Otolaryngology; Department of Otolaryngology, Gartnavel General Hospital, Glasgow NATIONALLICENCE 700 1- Sinha K. P. Erstwhile Registrar in Otolaryngology; Department of Otolaryngology, Gartnavel General Hospital, Glasgow NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 103/5(1989-05), 504-507 0022-2151 103:5<504 1989 103 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge