title: A British experience of surgical voice restoration as a primary procedure.
abstract: It has been the aim of surgeons since Billroth first described laryngectomy to restore speech to the patient. However, a substantial percentage of patients fail to develop esophageal speech. Many authors have confirmed the success of the tracheoesophageal fistula procedure as a means of surgical voice restoration as a secondary procedure. We have performed tracheoesophageal puncture as a primary procedure at the time of laryngectomy in 36 patients, with a success rate of 89%. We believe that primary puncture is the method of choice for surgical voice restoration following laryngectomy.
authors.affiliation: Head and Neck Surgical Unit, Charing Cross Hospital, London.
authors.forename: C A
authors.initials: CA
authors.lastname: Milford
authors.forename: A R
authors.initials: AR
authors.lastname: Perry
authors.forename: T A
authors.initials: TA
authors.lastname: Mugliston
authors.forename: A D
authors.initials: AD
authors.lastname: Cheesman
mesh_terms: D000328:Adult; D000368:Aged; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D013071:Speech, Alaryngeal / Q000379:methods*; D014139:Tracheostomy