Postlaryngectomy voice restoration. A prospective study in 83 patients.
From July 1985 until May 1990, 83 patients underwent a total laryngectomy. We prospectively studied voice restoration in 81 of them (two died postoperatively). Esophageal voice was used by 19 patients; a tracheoesophageal procedure (myomucosal shunt, primary or secondary puncture with Blom-Singer prosthesis) by 41; and 21 patients had no voice restoration. Results were assessed according to voice quality and usage. Tracheoesophageal speech had a success rate of 73% (good voice, daily use) after 1 month, while esophageal voice proved to have only a 5% success rate. Thirty patients (37%), however, remained without a substitute voice. The reasons for their exclusion are presented; they include a high rate of refusal.
St Guily
J L
JL
Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine COCHIN, Tenon Hospital, Paris, France.
Angelard
B
B
el-Bez
M
M
Julien
N
N
Debry
C
C
Fichaux
P
P
Gondret
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004947:Esophagus; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011677:Punctures; D013071:Speech, Alaryngeal / Q000379:methods*; D013072:Speech, Esophageal; D014132:Trachea