[Surgical voice rehabilitation: permanence of tracheoesophageal fistula after total phonatory laryngectomy. Long-term follow-up].
A study of the 10-year follow-up of 152 patients who underwent total phonatory laryngectomy (TPL) for surgical alaryngeal voice rehabilitation by trachoesophageal puncture (TEP) and prosthesis insertion is reported. These patients belonged to a larger group of 270 patients who underwent TPL in our department in 1984-1995. Patients who had undergone surgery at least 24 months earlier were selected for the purpose of obtaining more reliable conclusions. TPL was a valid option for patients with primary or secondary laryngectomy. Tracheoesophageal voice conservation was achieved in 83.1% when technical surgical conditions and TEP follow-up improved, and dynamic tracheal and hypopharyngeal features were better understood.
Artazkoz del Toro
J J
JJ
Servicio de ORL, Hospital Dr. Peset, Valencia.
López Martínez
R
R
D005500:Follow-Up Studies; D006801:Humans; D007825:Laryngectomy; D012189:Retrospective Studies; D014138:Tracheoesophageal Fistula; D014832:Voice Disorders / Q000534:rehabilitation* / Q000601:surgery*
Rehabilitación quirúrgica de la voz: permanencia de la fístula traqueoesofágica tras laringuectomía total fonatoria. Seguimiento a largo plazo.