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October 11, 1976

Medical News

JAMA. 1976;236(15):1671-1683. doi:10.1001/jama.1976.03270160003001

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Glottic cancer patients may regain speech with aid of pseudolarynx  An ingenious surgical procedure developed in Europe is being used to create a pseudolarynx out of body tissues in patients who must undergo a laryngectomy. Although a permanent tracheostomy tube is usually still required, patients can regain speech quickly and without great effort.The operation can be performed only in patients with glottic carcinoma (carcinoma confined to the intrinsic part of the larynx) because the upper part of the trachea is needed for the pseudolarynx. The surgeon also tries to save the cricoid cartilage. The operation can be done in patients who already have had radiation therapy and other surgical procedures.George A. Sisson, MD, professor and chairman of the Department of Otolaryngology and Maxillofacial Surgery at Northwestern University Medical School and Northwestern Memorial Hospital, Chicago, is one of two surgeons in the United States who has performed the