eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Speech Language Pathology

Laryngectomy Rehabilitation: Multimedia

Author: Lori E Lombard, PhD, Professor, Department of Special Education and Clinical Services, Indiana University of Pennsylvania
Coauthor(s): Anne A Popovich,, Indiana University of Pennsylvania
Contributor Information and Disclosures

Updated: Nov 6, 2008

Multimedia

Diagram of tracheoesophageal puncture and prosthe...Media file 1: Diagram of tracheoesophageal puncture and prosthesis placement. Image courtesy of International Healthcare Technologies. Blom-Singer is a registered trademark of Hansa Medical Products.
Diagram of tracheoesophageal puncture and prosthe...

Diagram of tracheoesophageal puncture and prosthesis placement. Image courtesy of International Healthcare Technologies. Blom-Singer is a registered trademark of Hansa Medical Products.

Sizing device used to measure the depth of the tr...Media file 2: Sizing device used to measure the depth of the tracheoesophageal wall and determine the appropriate prosthesis length.
Sizing device used to measure the depth of the tr...

Sizing device used to measure the depth of the tracheoesophageal wall and determine the appropriate prosthesis length.

Comparison photos of an aspirated indwelling-styl...Media file 3: Comparison photos of an aspirated indwelling-style prosthesis on a chest x-ray film versus a CT scan image. Only the outside ring of the esophageal flange is radiopaque.
Comparison photos of an aspirated indwelling-styl...

Comparison photos of an aspirated indwelling-style prosthesis on a chest x-ray film versus a CT scan image. Only the outside ring of the esophageal flange is radiopaque.

Insertion of a low-pressure prosthesis with a gel...Media file 4: Insertion of a low-pressure prosthesis with a gelatin capsule.
Insertion of a low-pressure prosthesis with a gel...

Insertion of a low-pressure prosthesis with a gelatin capsule.

Top photo shows leakage of ingested liquids aroun...Media file 5: Top photo shows leakage of ingested liquids around the device, which indicates an expanding tracheoesophageal tract possibly due to a prosthesis that is too long. Bottom photo shows an indwelling-style prosthesis in place.
Top photo shows leakage of ingested liquids aroun...

Top photo shows leakage of ingested liquids around the device, which indicates an expanding tracheoesophageal tract possibly due to a prosthesis that is too long. Bottom photo shows an indwelling-style prosthesis in place.

More on Laryngectomy Rehabilitation

References

References

  1. Goldstein EA, Heaton JT, Stepp CE, et al. Training effects on speech production using a hands-free electromyographically controlled electrolarynx. J Speech Lang Hear Res. Apr 2007;50(2):335-51. [Medline].

  2. Baugh RF, Lewin JS, Baker SR. Vocal rehabilitation of tracheoesophageal speech failures. Head Neck. Jan-Feb 1990;12(1):69-73. [Medline].

  3. Bunting GW. Voice following laryngeal cancer surgery: troubleshooting common problems after tracheoesophageal voice restoration. Otolaryngol Clin North Am. Jun 2004;37(3):597-612. [Medline].

  4. Chone CT, Gripp FM, Spina AL, et al. Primary versus secondary tracheoesophageal puncture for speech rehabilitation in total laryngectomy: long-term results with indwelling voice prosthesis. Otolaryngol Head Neck Surg. Jul 2005;133(1):89-93. [Medline].

  5. Delsupehe K, Zink I, Lejaegere M, et al. Prospective randomized comparative study of tracheoesophageal voice prosthesis: Blom-Singer versus Provox. Laryngoscope. Oct 1998;108(10):1561-5. [Medline].

  6. Dworkin JP, Meleca RJ, Zormeier MM, et al. Videostroboscopy of the pharyngoesophageal segment in total laryngectomees. Laryngoscope. Dec 1998;108(12):1773-81. [Medline].

  7. Lewin JS, Baugh RF, Baker SR. An objective method for prediction of tracheoesophageal speech production. J Speech Hear Disord. Aug 1987;52(3):212-7. [Medline].

  8. Op de Coul BM, Ackerstaff AH, van As-Brooks CJ, et al. Compliance, quality of life and quantitative voice quality aspects of hands-free speech. Acta Otolaryngol. Jun 2005;125(6):629-37. [Medline].

  9. Pou AM. Tracheoesophageal voice restoration with total laryngectomy. Otolaryngol Clin North Am. Jun 2004;37(3):531-45. [Medline].

  10. Salmon SJ, Keith RL, Darley FL. Methods of Air Intake for Esophageal Speech and their Associated Problems. In: Keith RL, Darley FL, eds. Laryngectomy Rehabilitation. San Diego, Calif: College Hill Press; 1979:55-69.

  11. Singer MI, Blom ED. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol. Nov-Dec 1980;89(6 Pt 1):529-33. [Medline].

  12. Terrell JE, Lewin JS, Esclamado R. Botulinum toxin injection for postlaryngectomy tracheoesophageal speech failure. Otolaryngol Head Neck Surg. Dec 1995;113(6):788-91. [Medline].

  13. Trudeau MD. A comparison of the speech acceptability of good and excellent esophageal and tracheoesophageal speakers. J Commun Disord. Feb 1987;20(1):41-9. [Medline].

Further Reading

Keywords

laryngectomy, laryngectomy rehabilitation, alaryngeal voice rehabilitation, esophageal speech, laryngectomy voice restoration, tracheoesophageal punctures, tracheoesophageal speech, total laryngectomy, TL, near-total laryngectomy, NTL, voice restoration, artificial larynx speech, tracheoesophageal speech, electrolarynx, tracheoesophageal puncture, voice therapy, tracheoesophageal prosthesis, speech prosthesis, voice prosthesis, indwelling larynx prosthesis, duckbill prosthesis, duck bill prosthesis

Contributor Information and Disclosures

Author

Lori E Lombard, PhD, Professor, Department of Special Education and Clinical Services, Indiana University of Pennsylvania
Disclosure: Nothing to disclose.

Coauthor(s)

Anne A Popovich,, Indiana University of Pennsylvania
Anne A Popovich, is a member of the following medical societies: Phi Kappa Phi
Disclosure: Nothing to disclose.

Medical Editor

Clark A Rosen, MD, Director, University of Pittsburgh Voice Center; Associate Professor, Department of Otolaryngology and Communication Science and Disorders, University of Pittsburgh School of Medicine
Clark A Rosen, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Pennsylvania Medical Society
Disclosure: Bioform Medical  Consulting fee Consulting

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Karen Hall Calhoun, MD, Professor, Department of Otolaryngology-Head and Neck Surgery, The Ohio State University
Karen Hall Calhoun, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Head and Neck Society, American Medical Association, American Rhinologic Society, Association for Research in Otolaryngology, Society of University Otolaryngologists-Head and Neck Surgeons, Southern Medical Association, Texas Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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