Primary prosthetic voice restoration by performing tracheoesophageal puncture (TEP) and immediate insertion of a voice prosthesis at the time of total laryngectomy (TLE) is presently the method of choice. This enables the easiest and most comfortable voice rehabilitation with the patient still under general anesthesia when the first prosthesis is inserted. Reconstruction of the pharynx with e.g...

Three studies are presented which aim at rater-independent methods to evaluate voice quality, speech intelligibility and the benefit of rehabilitation of the patients: (1) real time endoscopy of the vibrating PE segment, (2) quantification of speech intelligibility by means of a computerized speech recognition system and (3) rating of the laryngectomees’ quality-of-life in relation to his subst...

BACKGROUND This cross-sectional study objects to measure, subjectively and objectively, the voice and life quality of patients with oral cavity, pharyngeal and laryngeal cancer, after organ-preservation treatment. METHODS 25 cases diagnosed and treated at a high complexity oncology center in southeastern Brazil. All had oral cavity, pharyngeal or laryngeal cancer, with a therapeutic proposal ...

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...

OBJECTIVE To describe a modified flap technique (MFT) involving the use of a false vocal fold flap for glottic reconstruction and the removal of arytenoid cartilage and to compare it with conventional frontolateral partial laryngectomy (FLPL) and laser cordectomy (LC). METHODS Twenty-eight MFT, 13 FLPL and 12 LC patients completed a standardised questionnaire for assessing aspiration, respira...

Topicality: According to the 2019-2020 cancer registry, incidence of laryngeal and laryngopharyngeal remains high in Ukraine. Malignant tumours larynx rank first among ENT organs accounting for 50-70%. The has a tendency constantly increase. At same time, 70% patients with malignant are men working age which is 41-60 years. vast majority cases (60-75%) diagnosed stage 3-4 disease, when main met...

Benign vocal fold lesions are common in the general population, and have important public health implications and impact on patient quality of life. Nowadays, phonomicrosurgery is the most common treatment of these lesions. Voice therapy is generally associated in order to minimize detrimental vocal behaviours that increase the stress at the mid-membranous vocal folds. Nonetheless, the most app...