[Surgical voice rehabilitation following laryngectomy]

A survey is given concerning different techniques for the restoration of voice after total laryngectomy. Our experiences with tracheo-esophageal shunts without or with valve prostheses are compared and the advantages of specific surgical methods are reported. The threedimensional postoperative voice recording (fast Fourier-transformation) is demonstrated. Special attention is directed to case selection. For most of our patients (80%) who are receiving postoperative radiation therapy we recommend a two stage procedure.