Abstract
Led by own experiences, the two surgical methods are compared. The principle of both is the formation of a tracheo-esophageal shunt. In the ideal case this shunt is functioning only as a neoglottis. The limitating factor is the risk of aspiration, which is, according to our own experience, less with the Amatsu-technique. The rehabilitative operation should only be performed, if it is desired by patients, who are not willing to accept the classical laryngectomy or who are so dependent on their voice, that they accept the disadvantage of the neoglottis consciently.
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