Speech rehabilitation after total laryngectomy: long-term results with indwelling voice prosthesis Blom-Singer®

Abstract

Tendency to greater success rate in voice rehabilitation after TL with primary TEP was observed. Postoperative XRT and age did not influence success rate.

Voice Restoration After Total Laryngectomy

“…The success rate with respect to voice quality (ie, fair to excellent rating) Voice Restoration After Total Laryngectomy was 88%, which was significantly influenced by the extent of surgery (P<.001). 42 A study by Chone and colleagues 43 suggested that the use of radiation therapy (XRT) and patient age did not influence the success of vocal prostheses among primary and secondary TEP, with an overall success rate of 94%. With regard to TL patients in South Africa using the Provox voice prosthesis, the mean device life was 303 days and adverse events occurred in 16 patients.…”

Practice of laryngectomy rehabilitation interventions

“…Some series have addressed such issue, and the quality of life (QOL) after laryngectomy with tracheoesophageal voice prosthesis was similar to patients treated by conservative treatment such as radiation therapy [30,31 & ]. Therefore, this method has high costs involved, which can be a limitation in developing countries [10,32]. Therefore, this method has high costs involved, which can be a limitation in developing countries [10,32].…”

“…Also in Brazil, Chone et al [32] reported their experience with tracheoesophageal prosthesis in 71 patients who underwent total laryngectomy, in which 59% were also submitted to adjuvant radiation therapy. They showed a 97% success rate in the primary insertion and 78% in the secondary insertion (not significant, P ¼ 0.07), and had no negative impact on voice restoration with the association of radiation therapy.…”

Uso de manometria computadorizada para estudo do espasmo do segmento faringoesofágico em pacientes com voz traqueoesofágica inadequada antes e após aplicação de toxina botulínica

“…This PES alteration can be treated in three different ways: myotomy of middle and lower pharynx constrictors, neurectomy of the pharyngeal plexus, and the recently published technique of chemically denervating the PES with botulinum toxin (BT) [6][7][8]10,11,[14][15][16][17][18][19][20][21][22][23][24] . Botulinum toxin is a pre-synaptic blocker that prevents the release of acetylcholine in the neuromuscular junction.…”