Phonosurgery is defined as 'surgery specifically designed to alter the voice' (Von Leden, 1991). It can be divided into four categories: (1) Vocal fold surgery; (2) Laryngeal framework surgery; (3) Neurolaryngeal surgery; (4) Post-laryngectomy voice rehabilitation. All the above procedures require a knowledge of the anatomy and the physiology of the vocal folds. It is important to preserve the ...

The evaluation of diagnostics and therapies includes more and more subjective, i.e. emotional and social aspects. Focussing on the handicap experienced by dysphonic patients, the Voice Handicap Index (VHI) has previously been found to be of significant clinical and scientific value for different voices. In this study the VHI questionnaire was applied to demonstrate the voice handicap of 20 male...

UNLABELLED To evaluate long-term use of indwelling Blom-Singer voice prosthesis (VP) for vocal rehabilitation of patients submitted to total laryngectomy (TL). We studied the influence of time of performance of tracheo-esophageal puncture (TEP), use of radiotherapy (XRT), patients' age and length of follow-up, on the rate of success of use of VP. STUDY DESIGN Clinical prospective. MATERIAL ...

The author has simplified the Blom-Singer(1) puncture. The fistula is formed with the help of his new device, the endo-extralaryngeal needle carrier and pointed metal cone fixed to a catheter. The voice prosthesis is placed in the fistula formed thus in an endo-extra oesophagotracheal way. The advantage of the method is, that when the fistula being formed from inside out, the back wall of the o...