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

P Pokieser, M C Grasl, W Schima, K Uranitsch, H Piza-Katzer, B Niederle, K Ehrenberger, Olle Ekberg, D Tscholakoff

Research output: Contribution to journalArticlepeer-review

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.
Original languageEnglish
Pages (from-to)469-473
JournalActa Radiologica
Volume36
Issue number5
Publication statusPublished - 1995

Subject classification (UKÄ)

  • Radiology, Nuclear Medicine and Medical Imaging

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