Commentary (Shah): Current Status of Voice Restoration Following Total Laryngectomy
نویسنده
چکیده
Drs. Mark Singer and Eric Blom revolutionized the process of speech rehabilitation following total laryngectomy with their introduction of the tracheoesophageal puncture and insertion of a duck bill prosthesis.[1-5] The physiologic principles of the procedure are obvious, the surgical technique is simple, and the results in terms of fluent speech production are immediate and quite satisfactory. Dr. Blom is to be complimented for providing in this article, a succinct summary of the “current methods” available for speech rehabilitation for a patient facing total laryngectomy.
منابع مشابه
Current status of voice restoration following total laryngectomy.
Total laryngectomy is the surgical procedure traditionally used to treat patients with advanced-stage cancer of the larynx. The impairments resulting from removal of such a small organ are, indeed, profound. They include loss of voice and speech; altered respiration, necessitating a permanent breathing opening in the neck; and diminished sense of smell and taste. When one considers these factor...
متن کاملThe electrolarynx: voice restoration after total laryngectomy
The ability to speak and communicate with one's voice is a unique human characteristic and is fundamental to many activities of daily living, such as talking on the phone and speaking to loved ones. When the larynx is removed during a total laryngectomy (TL), loss of voice can lead to a devastating decrease in a patient's quality of life, and precipitate significant frustration over their inabi...
متن کاملOutcomes of primary and secondary tracheoesophageal puncture: a 16-year retrospective analysis.
The current study retrospectively reviewed the cases of 68 patients who had undergone total laryngectomy and tracheoesophageal puncture (TEP) over a 16-year period. Fifty-one patients underwent primary TEP and 17 underwent secondary TEP. Nearly 80% of patients who received TEP at the time of laryngectomy achieved excellent voice quality perceptually. In contrast, only 50% of secondary TEP patie...
متن کاملSurgical Voice Restoration Following Laryngectomy
Over the past three decades a variety of surgical techniques have been developed for voice restoration following laryngectomy. The underlying principle of these procedures is to divert pulmonary air into the gullet where vibrations of the tissue creates the sound used for speech production. To achieve successful surgical voice restoration voice production must be compatible with normal deglutit...
متن کاملRestorative procedures in cases of impaired voice function following complete laryngectomy.
Surgical voice restoration with a tracheo-oesophageal fistula using an alloplastic voice prosthesis is the current standard in Germany for patients with laryngectomy. With the increasing widespread use of this type of rehabilitation new duties emerge, not only for ones colleagues in the hospital but also for those in general practice. Care of these patients close to their home must be the aim o...
متن کامل