{"title":"Surgery and rehabilitation for speech following laryngectomy","authors":"","doi":"10.1016/j.otot.2024.04.011","DOIUrl":null,"url":null,"abstract":"<div><p>Achieving optimal voice restoration has long been the goal in total laryngectomy<span> patients. Significantly, the achievement of a good voice has a great impact on the quality of life<span><span><span> in this patient population. Numerous surgical and non-surgical options are available. Foremost of these is a tracheoesophageal puncture with use of a voice prosthesis. Creation of the tracheoesophageal puncture is a simple procedure which can be performed using a variety of techniques. It can also be done under general anesthesia or in the office setting. Surgical evaluation and ongoing care of the voice prosthesis is carried out in conjunction with the speech language </span>pathologist. Most patients do well, with a variety of solutions being available for uncommon issues which may occur. In the majority of patients, </span>alaryngeal speech is readily achievable. The head and neck surgeon should be well-versed in the techniques available.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 196-204"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Otolaryngology - Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043181024000368","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Achieving optimal voice restoration has long been the goal in total laryngectomy patients. Significantly, the achievement of a good voice has a great impact on the quality of life in this patient population. Numerous surgical and non-surgical options are available. Foremost of these is a tracheoesophageal puncture with use of a voice prosthesis. Creation of the tracheoesophageal puncture is a simple procedure which can be performed using a variety of techniques. It can also be done under general anesthesia or in the office setting. Surgical evaluation and ongoing care of the voice prosthesis is carried out in conjunction with the speech language pathologist. Most patients do well, with a variety of solutions being available for uncommon issues which may occur. In the majority of patients, alaryngeal speech is readily achievable. The head and neck surgeon should be well-versed in the techniques available.
期刊介绍：
This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.
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