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Postlaryngectomy voice restoration. A prospective study in 83 patients
J L St Guily1, B Angelard, M el-Bez
1Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine COCHIN, Tenon Hospital, Paris, France.
Archives of Otolaryngology--Head & Neck Surgery
|March 1, 1992
Summary
Tracheoesophageal speech offers a 73% success rate for voice restoration after total laryngectomy, significantly outperforming esophageal voice at 5%. Many patients still require alternative voice solutions post-surgery.
Area of Science:
- Otolaryngology
- Speech and Language Pathology
Background:
- Total laryngectomy necessitates voice restoration for patients.
- Various methods exist for post-laryngectomy voice rehabilitation.
Purpose of the Study:
- To compare the efficacy of tracheoesophageal speech versus esophageal voice for voice restoration.
- To identify factors influencing voice restoration success after total laryngectomy.
Main Methods:
- Prospective study of 81 total laryngectomy patients.
- Assessment of voice quality and usage for esophageal voice and tracheoesophageal procedures.
- Analysis of reasons for failure or exclusion from voice restoration.
Main Results:
- Tracheoesophageal speech achieved a 73% success rate (good voice, daily use) within one month.
- Esophageal voice had a success rate of only 5%.
- 37% of patients remained without a substitute voice, often due to refusal.
Conclusions:
- Tracheoesophageal speech is a highly effective method for voice restoration post-laryngectomy.
- Patient selection and willingness to use a method are critical factors in voice restoration success.