title: Insertion of a tracheoesophageal speech valve: a novel approach in a difficult situation.
abstract: BACKGROUND
  Functional voice rehabilitation is becoming increasingly important following total laryngectomy and pharyngolaryngectomy. Tracheoesophageal voice via a shunt valve is currently regarded as the 'gold standard' for voice rehabilitation. Traditional techniques usually allow for the replacement of valves in the out-patient setting; however, patient factors such as altered anatomy may occasionally prevent this.
  
  
  OBJECTIVE
  This paper describes a novel approach for speech valve insertion that is safe, quick and cost-effective, and which uses equipment commonly available in ENT wards and the operating theatre.
authors.affiliation: Department of Otolaryngology,Monklands District General Hospital,Airdrie,Scotland,UK.
authors.forename: C P
authors.initials: CP
authors.lastname: Yiannakis
authors.affiliation: Department of Otolaryngology,Monklands District General Hospital,Airdrie,Scotland,UK.
authors.forename: R B
authors.initials: RB
authors.lastname: Townsley
authors.affiliation: Department of Otolaryngology,Monklands District General Hospital,Airdrie,Scotland,UK.
authors.forename: I G
authors.initials: IG
authors.lastname: Smillie
authors.affiliation: Department of Otolaryngology,Monklands District General Hospital,Airdrie,Scotland,UK.
authors.forename: G L
authors.initials: GL
authors.lastname: Picozzi
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000534:rehabilitation / Q000601:surgery; D007825:Laryngectomy / Q000534:rehabilitation; D007831:Larynx, Artificial; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*
keywords:  Esophageal;  Laryngeal; Laryngectomy; Pharyngectomy; Speech; Speech Therapy; Voice Prosthesis