title: Total laryngectomy with primary voice restoration.
abstract: Forty-three patients were prospectively studied following tracheo-oesophageal puncture at the time of laryngectomy (primary voice restoration). Blom-Singer voice prostheses were used. The surgery was regarded as successful if a patient continued to use the voice prosthesis as the major means of communication with clear intelligibility 4 months after the operation. Using this criterion, the success in this series was 70%. No attempt was made to assess the quality of speech. Complications and causes of failure are discussed.
authors.affiliation: Department of Otolaryngology, Veterans' Hospital, Sydney, New South Wales, Australia.
authors.forename: I
authors.initials: I
authors.lastname: Cole
authors.forename: S
authors.initials: S
authors.lastname: Miller
mesh_terms: D004946:Esophagostomy; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D007831:Larynx, Artificial; D011446:Prospective Studies; D013071:Speech, Alaryngeal; D014139:Tracheostomy; D014833:Voice Quality