Abstract
In 1986, Strome reported a new surgical procedure, Strome's T-E shunt, for speech rehabilitation following total laryngectomy, It is characterized by a mucosa-lined tracheoesophageal fistula and a ‘Sling’ for the prevention of aspiration. 4 patients were operated on with his procedure in our department. Only lout of 4 acquired speech and 2 suffered from serious aspiration to need reoperation with Voice Prosthesis. It is concluded that this procedure is difficult to reappear and not a good way for voice restoration.