title: Surgical voice restoration after total laryngectomy: long-term results.
abstract: Tracheoesophageal puncture (TEP) with a voice prosthesis has been the preferred treatment for speech rehabilitation of total laryngectomies at the Dr. Peset Hospital since 1984. This study reviews 350 consecutive patients over a 15-year period. There were 334 patients with primary and 16 with secondary TEP. Long-term tracheoesophageal speech was achieved in approximately 70% of our patients. Problems related to or affecting TEP for voice restoration were studied. The different types of problems identified occurred in proportions ranging from 0.6% to 18%. Most of them were easily managed, but problems such as salivary leakage and dislodging of the prosthesis led to tracheoesophageal tract closure in 30% of the patients.
authors.affiliation: Department of Otorhinolaryngology, Dr. Peset Hospital, University of Valencia, Spain.
authors.forename: M J
authors.initials: MJ
authors.lastname: Ferrer Ramírez
authors.forename: F
authors.initials: F
authors.lastname: Guallart Doménech
authors.forename: S
authors.initials: S
authors.lastname: Brotons Durbán
authors.forename: M
authors.initials: M
authors.lastname: Carrasco Llatas
authors.forename: E
authors.initials: E
authors.lastname: Estellés Ferriol
authors.forename: R
authors.initials: R
authors.lastname: López Martínez
mesh_terms: D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects*; D007831:Larynx, Artificial / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010699:Phonation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014832:Voice Disorders / Q000209:etiology / Q000534:rehabilitation*