Further experience with modification of an intraluminal button for hands-free tracheoesophageal speech after laryngectomy.
Tracheoesophageal (TE) speech using a voice prosthesis and hands-free speaking valve with an intraluminal attachment is the gold standard for voice restoration after total laryngectomy. Modification of a standard self-retaining silicone cannula or laryngectomy button often aids in the attachment of a speaking valve within the tracheal lumen for hands-free TE speech production. An increased number of laryngectomized individuals are able to achieve hands-free TE speech when the standard length, flange, and diameter of a silicone button is customized to accommodate individual tracheostomal contours. A technique is presented for modification of a standard silicone laryngectomy button to facilitate hands-free TE speech after total laryngectomy.
Lewin
Jan S
JS
Department of Head and Neck Surgery, The University of Texas, M. D. Anderson Cancer Center, Houston, TX 77230-1402, USA.
Montgomery
Patti C
PC
Hutcheson
Katherine A
KA
Chambers
Mark S
MS
D001672:Biocompatible Materials / Q000737:chemistry; D004867:Equipment Design; D006801:Humans; D007825:Laryngectomy; D007831:Larynx, Artificial; D011474:Prosthesis Design; D012826:Silicone Elastomers / Q000737:chemistry; D013072:Speech, Esophageal / Q000295:instrumentation*; D015607:Stents; D013499:Surface Properties; D014139:Tracheostomy / Q000295:instrumentation
D001672:Biocompatible Materials; D012826:Silicone Elastomers