Tracheoesophageal speech following laryngopharyngectomy and pharyngeal reconstruction.
Voice restoration following total laryngectomy and pharyngeal reconstruction is an achievable yet challenging reconstructive task. Because numerous methods exist for pharyngeal reconstruction in conjunction with total laryngectomy, a thorough knowledge of the tissues used for reconstruction is necessary. This knowledge allows for realistic expectations for patient success. Also, specific modifications in voice restoration may be necessary with individual reconstruction methods. This article reviews the methods for reconstruction and the available literature on voice restoration in reconstructed patients.
Deschler
Daniel G
DG
Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA. daniel_deschler@meei.harvard.edu
Gray
Stacey T
ST
D005753:Gastric Mucosa / Q000637:transplantation; D006801:Humans; D007583:Jejunum / Q000637:transplantation; D007825:Laryngectomy / Q000534:rehabilitation*; D010611:Pharyngectomy / Q000534:rehabilitation*; D010614:Pharynx / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013072:Speech, Esophageal; D013524:Surgical Flaps; D014139:Tracheostomy