scholarly journals Voice rehabilitation, alaryngeal communication and swallowing function after total laryngectomy

2012 ◽  
Vol 22 (3) ◽  
pp. 303-310
Author(s):  
Shigenori Kanazawa ◽  
Kunitoshi Yoshino ◽  
Takashi Fujii ◽  
Hirokazu Uemura ◽  
Tomoyuki Kurita ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Voice Rehabilitation ◽  
Swallowing Function

The techniques of nonmuscular closure of hypopharyngeal defect following total laryngectomy: the assessment of complication and pharyngoesophageal segment

1997 ◽  
Vol 111 (11) ◽  
pp. 1060-1063 ◽  
Author(s):  
Ching-Ping Wang ◽  
Tzu-Chan Tseng ◽  
Rheun-Chuan Lee ◽  
Shyue-Yih Chang
Keyword(s):  
Total Laryngectomy ◽  
Fistula Formation ◽  
Voice Rehabilitation ◽  
Pharyngocutaneous Fistula ◽  
Swallowing Function ◽  
Pharyngeal Muscle ◽  
Constrictor Muscle ◽  
Pharyngoesophageal Segment ◽  
Pharyngeal Muscles ◽  
Closure Group

AbstractThe usual method of reconstructing a hypopharyngeal defect during total laryngectomy includes pharyngeal muscle layer closure, which may result in high pharyngoesophageal pressure. We hypothesize that nonclosure of the pharyngeal muscle can reduce the pressure of the pharyngoesophageal segment which can reduce the chances of the formation of pharyngocutaneous fistulae. A technique of nonmuscular closure of a hypopharyngeal defect is presented. The differences in the rate of fistula formation and swallowing function between patients with usual and nonmuscular closure were also studied. Sixty consecutive laryngectomees were enrolled in this study. Thirty patients received usual closure after total laryngectomy, whereas the other 30 patients underwent non closure of their pharyngeal muscles. One patient (3.3 per cent) in the nonmuscular closure group and three patients (10 per cent) in the usual closure group developed a pharyngocutaneous fistula. The pharyngoesophageal pressures of the nonmuscular closure group were significantly lower than those of the usual closure group. We conclude that the technique of nonclosure of the pharyngeal constrictor muscle after total laryngectomy is relatively more simple and is not associated with a higher rate of fistula formation. Furthermore, nonclosure of the pharyngeal constrictor muscle is preferable to muscular closure because it reduces the spasm of the pharyngoesophageal segment which limits voice rehabilitation.

Long-term Progress and Complications of Voice Rehabilitation using Voice Prosthesis after Total Laryngectomy

2009 ◽  
Vol 60 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Takashi Nasu ◽  
Shuji Koike ◽  
Daisuke Noda ◽  
Yoshihiro Onoe ◽  
Masaru Aoyagi
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation

scholarly journals Voice Rehabilitation after Total Laryngectomy Using the Provox R Voice Prosthesis

2003 ◽  
Vol 106 (11) ◽  
pp. 1093-1100 ◽  
Author(s):  
Hiroyuki Yamada ◽  
Shin-ichiro Nishii ◽  
Shigetoshi Sakabe ◽  
Ryoji Ishida
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation

Voice Rehabilitation after Total Laryngectomy and Tracheoesophageal Puncture Using Nonmuscle Closure

1993 ◽  
Vol 102 (10) ◽  
pp. 792-796 ◽  
Author(s):  
Ross A. Clevens ◽  
Duane O. Hartshorn ◽  
Ramon M. Esclamado ◽  
Jan S. Lewin
Keyword(s):  
Total Laryngectomy ◽  
Voice Rehabilitation ◽  
Rehabilitation Outcomes ◽  
Pharyngoesophageal Segment ◽  
Pharyngeal Plexus ◽  
Neck Recurrence ◽  
Tracheoesophageal Puncture ◽  
Early Primary ◽  
Successful Production

The successful production of voice with a tracheoesophageal puncture (TEP) and voice prosthesis requires a compliant pharyngoesophageal segment. Speech failure is commonly attributed to spasm of the pharyngoesophageal segment. During total laryngectomy (TL), a 3-layer closure is typically performed. This prospective single-arm study examines the safety and efficacy of TL and TEP with nonclosure of the pharyngeal musculature to prevent pharyngoesophageal spasm as an alternative to 3-layer closure with pharyngeal plexus neurectomy and/or pharyngeal constrictor myotomy. Twenty-one consecutive patients were enrolled by a single surgeon. The mean duration of follow-up was 19.5 ± 7.9 months. Surgical complications and voice rehabilitation outcomes were examined. An overall complication rate of 28.5% was observed. Fluency was achieved in 75% of patients within a mean of 4.3 ± 5.1 months. Speech failure was attributable to early primary site and neck recurrence (5%), hypoglossal nerve palsy (5%), hypopharyngeal stricture and recurrence (5%), dementia (5%), and intransigent alcohol abuse (5%). Pharyngeosophageal spasm was not observed in any subjects. We conclude that primary TEP with nonclosure of the pharyngeal muscle during TL is relatively safe. Furthermore, it is preferable over 3-layer closure because it avoids pharyngeosophageal spasm, a factor limiting voice rehabilitation.

Systematic Review of The Outcome of Different Modalities of Voice Rehabilitation Following Total Laryngectomy

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Adly Mohamed ◽  
Tarek Abdel hamid Hamdy ◽  
Anas Mohamed Askoura ◽  
Mohamed Samir Ahmed Kamal Mohamed Ghaly
Keyword(s):  
Quality Of Life ◽  
Total Laryngectomy ◽  
Voice Rehabilitation ◽  
Speech Impairment ◽  
Advantages And Disadvantages ◽  
Artificial Larynx ◽  
Oncologic Patients ◽  
Prisma Statement ◽  
Single Method

Abstract Background Speech impairment occurs in 34-70% of head and neck oncologic patients. Management of this impairment is through surgical and nonsurgical methods. Progress in voice rehabilitation following total laryngectomy has over the last 30 years, made an enormous difference in the whole concept of the management of laryngeal cancers. Objective To explore the outcome of different options of voice rehabilitation after total laryngectomy and the advantages and disadvantages of each method in order to improve the quality of life of laryngectomized patients and the suggestion of future directions for research. Patients and Methods The Aim of this work is to provide cumulative data about the efficacy and safety of the outcome of different modalities of voice rehabilitation following total laryngectomy. This review was done using standard methodology outlined in the Cochrane Handbook and reported the findings in accordance with the Preferred Reporting Items for Systematic Reviews and Metaanalyses (PRISMA) statement guidelines. Results Voice rehabilitation is one of the most important determinants of the quality of life after total laryngectomy. Recent advances in prosthetic voice devices have made such devices the gold standard for voice rehabilitation. They are thus preferred and used more often than old methods (esophageal speech and artificial larynx). Conclusion Although, no single method is considered to be the best for every patient, the tracheoesophageal puncture has become the most preferred method in the past decade. But it is not always possible in all patients, the results of this study indicate that ES, when achievable, is a viable option that should be considered by surgeons when making intervention decisions on patients, and should be revived when indicated. But we need much more studies.

Dynamic behavior of the Provox and Staffieri prostheses for voice rehabilitation following total laryngectomy

1998 ◽  
Vol 255 (3) ◽  
pp. 143-148 ◽  
Author(s):  
C. Miani ◽  
A. Bellomo ◽  
G. Bertino ◽  
A. Staffieri ◽  
M. Carello ◽  
...  
Keyword(s):  
Dynamic Behavior ◽  
Total Laryngectomy ◽  
Voice Rehabilitation

Voice rehabilitation after total laryngectomy

2015 ◽  
Vol 28 (4) ◽  
pp. 800 ◽  
Author(s):  
MahmoudA Al-Belkasy ◽  
MohammedK El-Sharnobya ◽  
EssamA. W. Behairya ◽  
AymanA Abdel-Fattah
Keyword(s):  
Total Laryngectomy ◽  
Voice Rehabilitation

scholarly journals Aspirated Voice Prosthesis: A Unique Complication of Post Total Laryngectomy Voice Rehabilitation

2012 ◽  
Vol 2 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Sudhir M Naik
Keyword(s):  
Case Report ◽  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation ◽  
Wide Field ◽  
Wide Angle ◽  
Puncture Site ◽  
History Of ◽  
Tracheoesophageal Puncture ◽  
The Voice

ABSTRACT 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. Case report A 75-year-old female who had undergone wide field laryngectomy 14 months back came with history of lost voice prosthesis which was later found aspirated. It was removed by the bronchoscopic forceps under topical anesthesia by visualizing it by a nasal 0° wide angle endoscope. The puncture site was cleaned and allowed to cicatrize and narrow down. The fistula was closed by topical application of silver nitrate. Conclusion Tracheoesophageal puncture and prosthesis rehabilitation has emerged as the standard voice rehabilitation of laryngectomized patients. Patient education regarding maintenance of the prosthesis and the care for the tracheostoma is important in reducing the complications. How to cite this article Naik SM. Aspirated Voice Prosthesis: A Unique Complication of Post Total Laryngectomy Voice Rehabilitation. Int J Phonosurg Laryngol 2012;2(1):41-45.

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