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[Tracheoesophageal prostheses].

G Motta1, G Salerno

  • 1Istituto di Patologia e Clinica ORL e di Foniatria, II Facoltà di Medicina e Chirurgia dell'Università di Napoli.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|May 1, 1992
PubMed
Summary
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Successful tracheoesophageal speech rehabilitation for laryngectomees requires careful patient selection and a preferred secondary fistula creation technique. This approach minimizes trauma and optimizes vocal recovery outcomes.

Area of Science:

  • Otolaryngology
  • Speech-Language Pathology

Context:

  • Laryngectomees often face challenges with vocal rehabilitation post-surgery.
  • Tracheoesophageal speech offers a viable alternative for voice restoration.

Purpose:

  • To detail a preferred technique for tracheoesophageal fistula creation.
  • To emphasize patient selection criteria for successful speech rehabilitation.
  • To review prosthetic devices and failure causes.

Summary:

  • The study presents experience with tracheoesophageal speech rehabilitation, highlighting the importance of patient selection for physical and motivational factors.
  • A minimally invasive, local anesthesia technique for tracheoesophageal fistula creation (5-10 minutes) is described, suitable for outpatients.
  • The authors advocate for secondary fistula creation post-laryngectomy due to fewer complications compared to primary methods.

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Impact:

  • Provides a refined surgical approach for voice restoration in laryngectomees.
  • Aims to improve success rates in tracheoesophageal speech rehabilitation.
  • Offers insights into prosthetic device selection and management of potential failures.