Endoscopic laser cricopharyngeal myotomy to salvage tracheoesophageal voice after total laryngectomy.
نویسندگان
چکیده
Development of voice after tracheoesophageal puncture, following laryngectomy, is sometimes hampered by spasm of the cricopharyngeal muscle. This problem has been addressed by various means, including bougienage, botulinum toxin injection, and open surgical division of the muscle. We believe that endoscopic carbon dioxide laser cricopharyngeal myotomy represents a direct, simple, and effective solution.
منابع مشابه
Indications and outcomes of endoscopic CO2 laser cricopharyngeal myotomy.
OBJECTIVES/HYPOTHESIS To describe indications, management, and outcomes of endoscopic CO2 laser cricopharyngeal myotomy (CPM). STUDY DESIGN Case series with chart review. METHODS All patients treated with endoscopic CO2 laser CPM over a 6-year period were identified. A retrospective chart review was performed for surgical indication, history and physical examinations, and swallow evaluation...
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INTRODUCTION After total laryngectomy (TL), three methods of speech production are commonly available: esophageal, artificial (i.e., electrolarynx or equivalent), and tracheoesophageal puncture (TEP) voice. TEP is a highly successful voice restoration method for the majority of TL patients and allows for the production of intelligible, more natural sounding and fluent alaryngeal speech. Althoug...
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ورودعنوان ژورنال:
- Archives of otolaryngology--head & neck surgery
دوره 127 6 شماره
صفحات -
تاریخ انتشار 2001