Background/objectives: Prosthetic voice rehabilitation after total laryngectomy has proven to be successful in restoring proper speech function in over 90% of patients. The possibility of achieving effective speech using the voice prosthesis is superior to esophageal speech and electrolarynx. Setting: Department of Head and Neck Oncosurgery, Kidwai Memorial Institute of Oncology, Bengaluru. Cas...

OBJECTIVE To assess the success rate of tracheoesophageal voice prosthesis as the primary mode of voice rehabilitation in patients after total laryngectomy. METHODS Medical record files of 35 patients subjected to total laryngectomy were reviewed for determining success or failure of the voice prosthesis. The indicators used were quality of speech and utility of the device. Subsequent complic...

BACKGROUND AND OBJECTIVES Voice restoration after total laryngectomy is of outmost importance for patient and a therapeutic challenge for the surgeon and speech pathologist. Among various rehabilitation methods prosthetic voice yields nowadays the best results. PATIENTS AND METHODS A total of 12 patients underwent laryngectomy at the Department of Otorhinolaryngology, University Hospital, Pat...

Objective speech evaluation using acoustic measurement is needed for the proper rehabilitation of maxillectomy patients. For digital evaluation of consonants, measurement of voice onset time is one option. However, voice onset time has not been measured in maxillectomy patients as their consonant sound spectra exhibit unique characteristics that make the measurement of voice onset time challeng...

INTRODUCTION Patients who underwent laryngectomy due to larynx cancer have a possibility to regain ability to speak with the use of silicone voice prosthesis. However, the lifetime of the device is limited, and last for approximately 3-6 months, mainly due to bacterial and fungal biofilm formation, that subsequently causes deterioration of the prosthesis and malfunction of the valve mechanisms....

BACKGROUND The voice prosthesis inserted into a tracheoesophageal fistula has become the most widely used device for voice rehabilitation in patients with total laryngectomy. CASE PRESENTATION We describe a case of tracheoesophageal prosthesis' (TEP) aspiration in a laryngectomized patient, with permanent tracheal stoma, that appeared during standard cleaning procedure, despite a programme of...

The supraclavicular artery island flap (SCAIF) is increasingly employed for laryngectomy reconstruction with excellent success. Although tracheoesophageal puncture (TEP) with intraoperative prosthesis placement is also positively reported, this is not described in patients following SCAIF. We review our experience with primary TEP with prosthesis placement and voice outcomes in patients after S...

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...

AIM To obtain information about valved speech and related issues in patients who have undergone total laryngectomy with the help of a new structured questionnaire on voice prosthesis. SETTINGS AND DESIGN A questionnaire-based pilot study set at a tertiary referral head and neck cancer unit. MATERIALS AND METHODS Twenty-five patients using voice prostheses, who showed no signs of recurrence ...

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...