OBJECTIVE To compare and contrast functional speech outcomes of patients having undergone total laryngectomy and pharyngolaryngectomy who use tracheoesophageal speech as their primary mode of communication. DESIGN Group comparison design. SETTING Adult acute tertiary care hospital. PATIENTS Thirty patients who underwent total laryngectomy and 13 who underwent pharyngolaryngectomy with fre...

BACKGROUND Gaining a new voice is one of the major aims after total laryngectomy. The objective of this study was to describe the process and results of speech rehabilitation during the first year after surgery. METHODS Speech intelligibility was measured 6 months (n = 273) and 1 year (n = 225) after total laryngectomy. RESULTS Objective (23.4 to 47.5 points, p < .0001) and subjective (51.6...

introduction: pharyngocutaneous fistula (pcf) is the most common complication after total laryngectomy. its incidence is extremely variable, with values ranging from 3% and 65%. the management of this problem considerably increases the length and the cost of hospitalization.  the aim of this study is to analyze the incidence, predisposing factors, and outcome of pcf in patients undergoing total...

Van We issenbruch, R. Vo ice rehabilitation after total laryngectomy Vo ice rehabilitation after total laryngectomy using the ProvoxTM voice prosthesis Chemoprophylaxis of fungal deterioration of the Provox™ silicone tracheoesophageal prosthesis in postlaryngectomy patients Deterioration of the ProvoxTM tracheoesophageal voice prosthesis: microbial aspects and structural changes Cineradiography...

Objective: To find out various complications after total laryngectomy, with reference to their presentation, diagnosis, and management. Design: It was a prospective descriptive study. Setting: Otolaryngology, Head and Neck Surgery department, Pakistan Institute of Medical Sciences Islamabad, from 1st July 1999 to 31st June 2001. Patients and Methods: 25 patients undergoing total laryngectomy fo...

OBJECTIVE To demonstrate the oncological and physiological safety of near-total laryngectomy (NTL), its versatility for use following extensive resections that necessitate pharyngoplasty, in post radiation recurrences and its success in voice conservation. To highlight the importance of a "maintenance free biological shunt" for voice production in patients of advanced laryngeal and pharyngeal c...