Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
권호 표지

Voice Rehabilitation after Total Laryngectomy

후두전절제술 후 음성재활

  • Jang, Jeon Yeob (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Pusan National University School of Medicine)
  • 장전엽 (부산대학교 의과대학 부산대학교병원 이비인후과학교실)
  • Received : 2016.05.18
  • Accepted : 2016.05.27
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Total laryngectomy remains as an important treatment option in selected patients with laryngopharyngeal cancers, which inevitably sacrifices naturally produced voice. Much effort has been devoted to voice restoration for these laryngectomized patients. Several ways of voice rehabilitation after total laryngectomy have been developed and utilized thus far, including tracheoesophageal shunt speech, esophageal speech, pneumatic speech aid, and electrolarynx. Of these, tracheoesophageal shunt speech appears to be the most effective voice restoration method, while other trials might also be useful in special situations. Nevertheless, each method has its own unique mechanisms of voice production, thus has its advantages and drawbacks in clinical setting. In this review, we discuss the currently available management options for the rehabilitation of laryngectomized voice.

Keywords

References

  1. Wang SG, Jang SM. Tracheoesophageal Shunt Voice in Total Laryngectomee. J Korean Society of Logopedics and Phoniatrics 2008;(19): 21-7.
  2. So YK, Son YI. Rehabilitation of Voice after Laryngeal Surgery. Korean J Bronchoesophagol 2009;(15):5-9.
  3. Ahn CM, Kim HC, Choi JH, Chung DH. Characteristics of esophageal voice /a/ and /i/ in totally laryngectomized patients. Korean J Otolaryngol 2001;(44):1192-8.
  4. Lee HK, Kim SG, Joo HB, Lee BH, Lee YW, Lee KD. Imaging and acoustic study of laryngectomees after the Amatsu tracheoesophageal shunt operation. Korean J Otolaryngol 2000;(43):978-84.
  5. Koo SK, Lee SH, Chon KM, Wang SG, Goh EK, Kim HJ, et al. Mechanisms of vocal phonation in T-E shunt patients after total laryngectomy. Korean J Otolaryngol 1998;(41):360-70.
  6. Amatsu M. A new one-stage surgical technique for postlaryngectomy speech. Archives of Oto-Rhino-Laryngology 1978;(220):149-52.
  7. Hilgers FJ, Ackerstaff AH, Jacobi I, Balm AJ, Tan IB, van den Brekel MW. Prospective clinical phase II study of two new indwelling voice prostheses (Provox Vega 22.5 and 20 Fr) and a novel anterograde insertion device (Provox Smart Inserter). The Laryngoscope 2010;(120):1135-43.
  8. Lorenz KJ, Groll K, Ackerstaff AH, Hilgers FJ, Maier H. Hands-free speech after surgical voice rehabilitation with a Provox voice prosthesis: experience with the Provox FreeHands HME tracheostoma valve system. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies 2007;(264):151-7.