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[Voice rehabilitation after total laryngectomy]
Gan to Kagaku Ryoho. Cancer & Chemotherapy
|October 1, 1986
Summary
Voice restoration after total laryngectomy offers several options, including esophageal voice, artificial devices, and surgical techniques. Further research is needed for improved methods and early diagnosis to reduce laryngectomies.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
Context:
- Total laryngectomy necessitates voice restoration methods.
- Current techniques present challenges, including training time and patient inconvenience.
Purpose:
- To review and discuss current voice restoration techniques post-total laryngectomy.
- To highlight limitations and suggest future research directions.
Summary:
- Esophageal voice offers clear speech but requires extensive training.
- Artificial devices (electrolarynx, air bypass) and surgical options (tracheoesophageal fistula, glottoplasty) exist.
- No current method fully eliminates the need to manually occlude the tracheostoma.
Impact:
- Identifies the need for improved surgical techniques and artificial devices.
- Emphasizes the importance of early diagnosis to reduce the incidence of total laryngectomy.