State of surgical speech rehabilitation after total laryngectomy

✍ Scribed by McConnel, Fred M. S.

• Publisher: Wiley (John Wiley & Sons)
• Year: 1988
• Weight: 334 KB
• Volume: 10
• Category: Article
• ISSN: 0148-6403
• DOI: 10.1002/hed.2890100805

✦ Synopsis

This paper reports the present state of speech rehabilitation after total laryngectomy. The tracheal esophageal puncture (TEP) method has become the surgical treatment of choice for aphonia after total laryngectomy. The TEP method has been found to give higher speech acquisition rates and improved intelligibility over nonsurgical methods. TEP is being performed as a primary and secondary procedure with acceptable cornplication rates. As the prosthesis improves, the inherent disadvantages of a prosthetic method are being overcome. Long-term follow-up is still lacking to determine the permanent role of TEP in speech rehabilitation. HEAD & NECK SURGERY 1O:SlOl-S104,1988

Notable progress has been made in the past 10 years in the state of surgical speech rehabilitation after total laryngectomy. Ten years ago, there was no single, widely accepted surgical speech rehabilitation method. Several procedures had their advocates. [1][2][3][4][5][6][7] Esophageal speech was the comparison standard, with no single surgical method withstanding the test of time. However, over the last 10 years, the tracheal esophageal puncture (TEP) procedure has gained wide acceptance. Presently, there are few other surgi-Acknowledgment: Supported by the Calvin and Marisa Allen Fund for Research in Head and Neck Cancer.