title: Tracheoesophageal puncture for alaryngeal voice restoration.
abstract: Thirty-two tracheoesophageal punctures (TEP) were performed on 30 patients by The Cleveland Clinic Foundation Department of Otolaryngology and Communicative Disorders. In all cases, the Blom-Singer duckbill prosthesis was utilized for alaryngeal voice restoration. Ninety-three percent were able to produce significantly better voice following TEP when compared to their preoperative mode of communication, The preoperative orientation/evaluation format, surgical technique, success-failure ratios, and possible factors affecting successful TEP voice restoration are examined.
mesh_terms: D000328:Adult; D000368:Aged; D004947:Esophagus; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D011677:Punctures / Q000379:methods*; D013071:Speech, Alaryngeal / Q000295:instrumentation*; D014132:Trachea