title: Restorative procedures in cases of impaired voice function following complete laryngectomy.
abstract: Surgical voice restoration with a tracheo-oesophageal fistula using an alloplastic voice prosthesis is the current standard in Germany for patients with laryngectomy. With the increasing widespread use of this type of rehabilitation new duties emerge, not only for ones colleagues in the hospital but also for those in general practice. Care of these patients close to their home must be the aim of us all. With the use of voice prostheses on the increase any problems arising for the clinician are few and easily treatable; for these a therapy concept should be borne in mind. Surgical voice restoration is indicated only in individual cases due, among other reasons, to the high operational costs involved. If surgical voice restoration is impossible or unsuccessful, oesophageal voice replacement and electronic voice support are realistic alternatives. Improvements can be expected as regards the durability of voice prostheses, methods of replacing them, and speech procedure with finger-free tracheostomy closure. Greater use of the artificial larynx without tracheostomy is the objective for the distant future.
authors.affiliation: E.N.T. Department of the Friedrich Schiller University, Jena, Germany.
authors.forename: Sven
authors.initials: S
authors.lastname: Koscielny
references.citation: Otolaryngol Head Neck Surg. 2003 May;128(5):686-90
references.pmid: 12748562
references.citation: Rev Laryngol Otol Rhinol (Bord). 1999;120(4):245-8
references.pmid: 10668359
references.citation: Arch Otorhinolaryngol. 1989;246(5):407-9
references.pmid: 2686602
references.citation: Eur Arch Otorhinolaryngol. 1996;253(3):126-9
references.pmid: 8652152
references.citation: Acta Otolaryngol. 1996 Jan;116(1):119-24
references.pmid: 8820362
references.citation: Arch Otolaryngol Head Neck Surg. 2003 Sep;129(9):1000-5
references.pmid: 12975276
references.citation: Head Neck. 1996 Sep-Oct;18(5):393-8
references.pmid: 8864729
references.citation: Otolaryngol Pol. 1994;48(1):72-4
references.pmid: 7970767
references.citation: Surg Today. 2003;33(11):817-22
references.pmid: 14605952
references.citation: Laryngorhinootologie. 1999 Jun;78(6):OP57-68
references.pmid: 10439358
references.citation: Acta Otolaryngol. 2003 Jun;123(5):655-60
references.pmid: 12875590
references.citation: Laryngorhinootologie. 1994 Feb;73(2):84-7
references.pmid: 8161415
references.citation: J Speech Lang Hear Res. 1998 Dec;41(6):1253-64
references.pmid: 9859882
references.citation: Ann Otol Rhinol Laryngol. 2001 Jan;110(1):41-4
references.pmid: 11201807
references.citation: N Engl J Med. 2001 May 31;344(22):1676-9
references.pmid: 11386266
references.citation: Ann Otol Rhinol Laryngol. 1993 Oct;102(10):792-6
references.pmid: 8215100
references.citation: IEEE Trans Biomed Eng. 2004 Feb;51(2):325-32
references.pmid: 14765705
references.citation: J Mater Sci Mater Med. 1998 Mar;9(3):147-57
references.pmid: 15348904
references.citation: Head Neck. 1999 Jul;21(4):363-5
references.pmid: 10376757
references.citation: ORL J Otorhinolaryngol Relat Spec. 1995 May-Jun;57(3):165-70
references.pmid: 7603697
references.citation: HNO. 1985 Mar;33(3):124-9
references.pmid: 3997573
references.citation: HNO. 1993 Dec;41(12):597-608
references.pmid: 8125806
references.citation: Ann Otolaryngol Chir Cervicofac. 1994;111(8):456-60
references.pmid: 7645898
references.citation: Acta Otolaryngol. 2003 Jan;123(1):91-9
references.pmid: 12625581
references.citation: Head Neck. 1995 Mar-Apr;17(2):83-8
references.pmid: 7558817
references.citation: HNO. 1990 Nov;38(11):417-20
references.pmid: 2289900
references.citation: Acta Otolaryngol. 2000 Jan;120(1):92-9
references.pmid: 10779194
references.citation: Zentralbl Chir. 1998;123(8):944-9
references.pmid: 9757540
references.citation: Ann Otol Rhinol Laryngol. 2001 Jul;110(7 Pt 1):613-6
references.pmid: 11465818
references.citation: Acta Otolaryngol. 2001 Jul;121(5):643-6
references.pmid: 11583401
references.citation: Med Biol Eng Comput. 2003 Nov;41(6):670-8
references.pmid: 14686593
references.citation: Laryngoscope. 2000 Jun;110(6):1063-5
references.pmid: 10852531
references.citation: Ann Otol Rhinol Laryngol. 2000 Mar;109(3):311-9
references.pmid: 10737317
references.citation: Otolaryngol Clin North Am. 2004 Jun;37(3):547-58
references.pmid: 15163600
references.citation: Ann Otol Rhinol Laryngol. 1986 Jul-Aug;95(4 Pt 1):373-6
references.pmid: 3740711
references.citation: Eur Arch Otorhinolaryngol. 2005 Jan;262(1):32-4
references.pmid: 14986020
references.citation: Am J Otolaryngol. 1990 Mar-Apr;11(2):85-9
references.pmid: 2344000
references.citation: Otolaryngol Pol. 2000;54(6):697-701
references.pmid: 11265379
references.citation: Arch Otolaryngol Head Neck Surg. 2001 Jun;127(6):691-3
references.pmid: 11405870
references.citation: Laryngoscope. 2003 Apr;113(4):702-5
references.pmid: 12671432
references.citation: Arch Otolaryngol Head Neck Surg. 2000 Nov;126(11):1320-8
references.pmid: 11074828
references.citation: Laryngorhinootologie. 2001 Jun;80(6):324-8
references.pmid: 11475612
references.citation: Otolaryngol Head Neck Surg. 1999 Mar;120(3):314-9
references.pmid: 10064631
references.citation: Auris Nasus Larynx. 1987;14(2):101-4
references.pmid: 3449036
references.citation: Laryngorhinootologie. 2001 Nov;80(11):674-6
references.pmid: 11702283
references.citation: Laryngol Rhinol Otol (Stuttg). 1978 Jun;57(6):477-88
references.pmid: 661460
references.citation: Ann Otol Rhinol Laryngol. 1991 Jun;100(6):435-8
references.pmid: 2058981
references.citation: Arch Otolaryngol Head Neck Surg. 2001 Feb;127(2):161-9
references.pmid: 11177033
references.citation: Folia Phoniatr Logop. 2000 Jan-Jun;52(1-3):14-23
references.pmid: 10474000
references.citation: HNO. 1988 Mar;36(3):119-22
references.pmid: 3360632
references.citation: Yonsei Med J. 2003 Aug 30;44(4):615-8
references.pmid: 12950116
references.citation: Otolaryngol Head Neck Surg. 1995 Dec;113(6):668-70
references.pmid: 7501374
references.citation: Laryngoscope. 2001 May;111(5):918-23
references.pmid: 11359178
references.citation: Langenbecks Arch Chir. 1985;366:145-7
references.pmid: 4058154
references.citation: Head Neck. 2003 Aug;25(8):617-23
references.pmid: 12884343
references.citation: Eur Arch Otorhinolaryngol. 1992;249(6):354-7
references.pmid: 1418948
references.citation: Otolaryngol Head Neck Surg. 2003 Jun;128(6):835-40
references.pmid: 12825035
references.citation: Laryngoscope. 1995 Oct;105(10):1093-103
references.pmid: 7564842
references.citation: Otolaryngol Pol. 1972;26(6):653-61
references.pmid: 4654928
references.citation: Clin Otolaryngol Allied Sci. 1998 Oct;23(5):425-31
references.pmid: 9800078
references.citation: J Chin Med Assoc. 2003 Jun;66(6):360-3
references.pmid: 12889505
references.citation: Arch Otolaryngol Head Neck Surg. 1986 Nov;112(11):1168-71
references.pmid: 3755992
references.citation: J Laryngol Otol. 1994 Aug;108(8):666-8
references.pmid: 7930916
references.citation: Acta Otolaryngol Suppl. 2000;543:244-5
references.pmid: 10909032
references.citation: Clin Otolaryngol Allied Sci. 1993 Dec;18(6):517-23
references.pmid: 8877233
references.citation: Eur Arch Otorhinolaryngol. 2002 Jan;259(1):48-52
references.pmid: 11954927
references.citation: HNO. 1997 Feb;45(2):97-104
references.pmid: 9173078
references.citation: Am J Otolaryngol. 1993 Nov-Dec;14(6):432-9
references.pmid: 8285315
references.citation: Head Neck. 1997 Sep;19(6):487-93
references.pmid: 9278756
references.citation: J Laryngol Otol. 2003 Jan;117(1):80-2
references.pmid: 12590865
references.citation: J Laryngol Otol. 2003 Oct;117(10):815-20
references.pmid: 14653926
references.citation: J Laryngol Otol. 1999 Jun;113(6):564-5
references.pmid: 10605590
references.citation: HNO. 2000 Jul;48(7):508-16
references.pmid: 10955228
references.citation: Ned Tijdschr Geneeskd. 1991 Jul 20;135(29):1315-8
references.pmid: 1865934
references.citation: Laryngoscope. 2003 Sep;113(9):1479-82
references.pmid: 12972919
references.citation: Med Biol Eng Comput. 1998 Nov;36(6):754-60
references.pmid: 10367468
references.citation: Acta Otolaryngol. 2003 Oct;123(8):972-9
references.pmid: 14606602
references.citation: HNO. 1993 Oct;41(10):485-90
references.pmid: 8226121
references.citation: J Laryngol Otol. 1986 Jan;100(1):59-68
references.pmid: 3944505
references.citation: Cancer Nurs. 2004 Jan-Feb;27(1):1-9
references.pmid: 15108946
references.citation: J Laryngol Otol. 1993 May;107(5):430-3
references.pmid: 8326224
references.citation: Microsurgery. 2000;20(8):372-4
references.pmid: 11150986
references.citation: HNO. 1995 Mar;43(3):197-201
references.pmid: 7759304
references.citation: Laryngoscope. 2001 Feb;111(2):336-46
references.pmid: 11210885
references.citation: Laryngorhinootologie. 2004 Mar;83(3):173-9
references.pmid: 15042482
references.citation: Plast Reconstr Surg. 2003 Jan;111(1):336-40
references.pmid: 12496599
references.citation: Laryngoscope. 1996 Jan;106(1 Pt 1):93-6
references.pmid: 8544636
references.citation: World J Surg. 2003 Jul;27(7):824-31
references.pmid: 14509514
references.citation: J Otolaryngol. 2003 Aug;32(4):250-3
references.pmid: 14587566
references.citation: Otolaryngol Head Neck Surg. 2000 Jul;123(1 Pt 1):38-43
references.pmid: 10889479
references.citation: Clin Otolaryngol Allied Sci. 1998 Dec;23(6):555-9
references.pmid: 9884812
references.citation: J Laryngol Otol. 2003 Jul;117(7):544-8
references.pmid: 12901809
references.citation: Ann Otol Rhinol Laryngol. 2003 Dec;112(12):1007-10
references.pmid: 14703101
references.citation: Laryngorhinootologie. 2002 Dec;81(12):890-3
references.pmid: 12486628
references.citation: Acta Otolaryngol. 1998 Sep;118(5):732-8
references.pmid: 9840514
references.citation: Eur Arch Otorhinolaryngol. 2001 Oct;258(8):397-405
references.pmid: 11724262
references.citation: Eur Arch Otorhinolaryngol. 1997;254(1):1-5
references.pmid: 9115703
references.citation: Clin Otolaryngol Allied Sci. 1993 Jun;18(3):184-7
references.pmid: 8365005
references.citation: Eur Arch Otorhinolaryngol. 2004 Aug;261(7):381-5
references.pmid: 14576949
references.citation: Am J Otolaryngol. 2002 Nov-Dec;23(6):345-50
references.pmid: 12430126
references.citation: Rev Laryngol Otol Rhinol (Bord). 2003;124(5):299-304
references.pmid: 15144025
references.citation: Ann Otol Rhinol Laryngol. 1981 Mar-Apr;90(2 Pt 1):116-20
references.pmid: 7224509
references.citation: Curr Opin Otolaryngol Head Neck Surg. 2003 Apr;11(2):89-95
references.pmid: 14515085
references.citation: Otolaryngol Head Neck Surg. 2000 May;122(5):743-7
references.pmid: 10793358
references.citation: J Laryngol Otol. 2003 Sep;117(9):718-9
references.pmid: 14561361
references.citation: Ann Transplant. 1998;3(4):41-7
references.pmid: 10370802
references.citation: J R Soc Med. 1992 Dec;85(12):760-1
references.pmid: 1494169
references.citation: Otolaryngol Head Neck Surg. 2003 Dec;129(6):705-12
references.pmid: 14663439
references.citation: Am J Surg. 1988 Oct;156(4):269-72
references.pmid: 3177748
references.citation: Head Neck. 1989 Nov-Dec;11(6):524-7
references.pmid: 2584008
references.citation: Am J Surg. 1994 Nov;168(5):441-5
references.pmid: 7977969
references.citation: HNO. 1994 Feb;42(2):99-103
references.pmid: 8163402
references.citation: Auris Nasus Larynx. 1999 Jan;26(1):69-77
references.pmid: 10077259
references.citation: Arch Otolaryngol Head Neck Surg. 1999 Mar;125(3):288-92
references.pmid: 10190800
references.citation: Laryngorhinootologie. 1994 Dec;73(12):660-1
references.pmid: 7840832
references.citation: Otolaryngol Clin North Am. 2004 Jun;37(3):585-96
references.pmid: 15163603
references.citation: Folia Phoniatr Logop. 2004 Jan-Feb;56(1):62-7
references.pmid: 14767161
references.citation: Ear Nose Throat J. 1995 Jun;74(6):405-8
references.pmid: 7628330
references.citation: Eur Arch Otorhinolaryngol. 1992;249(5):248-52
references.pmid: 1524804
references.citation: Arch Otolaryngol Head Neck Surg. 2002 Jun;128(6):687-91
references.pmid: 12049565
references.citation: J Laryngol Otol. 2000 Jul;114(7):522-5
references.pmid: 10992934
references.citation: Eur Arch Otorhinolaryngol. 2001 Jul;258(5):240-2
references.pmid: 11548902
references.citation: J Laryngol Otol. 1999 Sep;113(9):847-8
references.pmid: 10664692
references.citation: Folia Phoniatr Logop. 2002 Jan-Feb;54(1):8-18
references.pmid: 11901261
references.citation: Laryngorhinootologie. 2001 Nov;80(11):677-81
references.pmid: 11702284
references.citation: Eur Arch Otorhinolaryngol. 2001 May;258(4):173-6
references.pmid: 11407448
references.citation: Acta Otolaryngol. 1996 Nov;116(6):913-7
references.pmid: 8973732