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ORIGINAL ARTICLE
Year : 2015  |  Volume : 28  |  Issue : 4  |  Page : 800-806

Voice rehabilitation after total laryngectomy


1 Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Beiala Hospital, Kafer El-Sheikh, Egypt

Correspondence Address:
Mahmoud A Al-Belkasy
Abd-Allah Bn Massoud Street, Beiala City, Kafer El-Sheikh Governate, 32511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.173591

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Objective The aim of the study was to review the different options for voice rehabilitation to improve the quality of life of laryngectomized patients after total laryngectomy. Data source Data for the study were collected from previous investigations and reviews as well as from medical websites (PubMed, Medscape, MD Consult) and scientific journals. Study selection Studies were selected for evaluating new advancements in voice rehabilitation after total laryngectomy. Data extraction In this review data from published studies were manually extracted and summarized. Data summary Total laryngectomy is potentially a debilitative surgery resulting in compromise of some of the most basic functions of life, including speech and swallowing. At present, there are several options available for these patients: esophageal speech, artificial larynx, and tracheoesophageal speech. The choice of speech rehabilitation varies from patient to patient, but tracheoesophageal voice has become the preferred method. Results No single method is considered the best for all patients, but tracheoesophageal puncture has become the preferred method in the past decade. Conclusion Voice rehabilitation is one of the most important determinants of the quality of life after total laryngectomy. Recent advances in prosthetic voice devices have made them the gold standard for voice rehabilitation. Thus, voice rehabilitation is preferred and used more often than other methods (esophageal speech and artificial larynx). There is ongoing research to find solutions to the most common complications of tracheoesophageal puncture.


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