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Updated: Mar 10, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Insertion of a tracheoesophageal speech valve: a novel approach in a difficult situation
C P Yiannakis1, R B Townsley1, I G Smillie1
1Department of Otolaryngology,Monklands District General Hospital,Airdrie,Scotland,UK.
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.
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