[Vocal rehabilitation after total laryngectomy: 15 years' experience with phonation implant]

Progress in voice rehabilitation after total laryngectomy is probably the most significative event of the last 15 years. The first to realise this procedure in France, the authors describe the state of the art in this field with a study of 160 cases. The results are in the main very positive with approximately 85% of success with all rehabilitation technics used currently. The future is establishing total functional rehabilitation of the larynx with new techniques researched specially in Europe with several groups : GREL, EGFL, BIOMED I program of Europe "Artificial Larynx" and so on... The work goes on and we shall see whether the next 15 years will be as satisfying as the last 15 years.