title: Post-laryngectomy vocal rehabilitation using expired air and an external fistula method.
abstract: The advantages and problems of fistula speech in post-laryngectomy vocal rehabilitation are discussed. A pilot study of laryngectomees has shown the practical advantages and low risk of a primary one-stage external vocal fistula construction at the time of laryngectomy, allowing very early fistula speech. These results indicate the need for an intensive program to develop a definitive surgical procedure and prosthesis, with a view to applying the method to all types of laryngectomees.
mesh_terms: D000388:Air; D004739:England; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007825:Laryngectomy; D010614:Pharynx / Q000601:surgery; D019736:Prostheses and Implants; D011474:Prosthesis Design; D012046:Rehabilitation / Q000266:history / Q000379:methods*; D012119:Respiration; D013071:Speech, Alaryngeal; D014132:Trachea / Q000601:surgery