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Record 1,  Textual support,  English

Record number: 1, Textual support number: 1 CONT

A tracheo-esophageal puncture technique for voice restoration after laryngectomy.  3, record 1, English, - tracheo%2Desophageal%20puncture

Record number: 1, Textual support number: 2 CONT

Tracheoesophageal puncture. Stoma is occluded with finger to shunt air, through silicone bivalved tube, into the esophagus. The air causes vibration at the level of the P-E segment and enables production of sound.  4, record 1, English, - tracheo%2Desophageal%20puncture

Record number: 1, Textual support number: 1 OBS

Tracheoesophageal fistulas, which are created by a puncture technique and maintained by a plastic prosthesis, are useful in the restoration of speech after a total laryngectomy. On the other hand, I have not found total laryngectomy with tracheoesophageal puncture to be an acceptable substitute for near-total laryngectomy if the patients’ cancer did not actually require a total laryngectomy... Furthermore, puncture methods direct the bolus of pulmonary air into the esophagus. Sometimes this induces a cricopharyngeal spasm, which must be corrected before the air can be brought up into the pharynx as sound... On the other hand, excellent results in a co-operative patient are certainly possible with the puncture and prosthesis technique.  5, record 1, English, - tracheo%2Desophageal%20puncture

Record 1,  Textual support,  French

Record number: 1, Textual support number: 1 DEF

Technique chirurgicale de réhabilitation de la voix du laryngectomisé par l'ouverture d'un canal de communication entre la trachée et l'œsophage.  2, record 1, French, - cr%C3%A9ation%20d%27une%20fistule%20trach%C3%A9o%2D%26oelig%3Bsophagienne

Record number: 1, Textual support number: 1 OBS

Renseignement obtenu d'une spécialiste du Centre de l'ouïe et de la parole de l'hôpital Notre-Dame, Montréal.  2, record 1, French, - cr%C3%A9ation%20d%27une%20fistule%20trach%C3%A9o%2D%26oelig%3Bsophagienne

Record 1,  Textual support,  Spanish

Record 2,  Textual support,  English

Record number: 2, Textual support number: 1 CONT

Most often, esophageal cancer starts in glandular cells, which make mucus. These cells are in the inner layer of the esophagus called the submucosa. This type of esophageal cancer is called adenocarcinoma of the esophagus. Cancer can also start in flat, thin cells called squamous cells. These cells line the inside of the esophagus. This type of cancer is called squamous cell carcinoma of the esophagus.  3, record 2, English, - esophageal%20cancer

Record 2,  Textual support,  French

Record number: 2, Textual support number: 1 CONT

Le cancer de l’œsophage est dû à la formation d’une tumeur maligne dans les tissus de la paroi de l’œsophage. On en distingue deux principaux types : le carcinome épidermoïde attaque les cellules qui tapissent la paroi interne de l’œsophage (les cellules squameuses). Il atteint généralement la partie supérieure de l’œsophage; l’adénocarcinome apparaît plus souvent dans la partie inférieure de l’œsophage. Il attaque les cellules glandulaires qui fabriquent et sécrètent du mucus et d'autres liquides qui contribuent à la digestion.  2, record 2, French, - cancer%20de%20l%27%26oelig%3Bsophage

Record 2,  Textual support,  Spanish