The current study retrospectively reviewed the cases of 68 patients who had undergone total laryngectomy and tracheoesophageal puncture (TEP) over a 16-year period. Fifty-one patients underwent primary TEP and 17 underwent secondary TEP. Nearly 80% of patients who received TEP at the time of laryngectomy achieved excellent voice quality perceptually. In contrast, only 50% of secondary TEP patie...

BACKGROUND Paraglottic space (PGS) is a connective tissue compartment of the larynx and is important in the extension of laryngeal cancer. It communicates with the preepiglottic space superiorly and with the extralaryngeal region inferiorly through the gap within the cricothyroid membrane. Transglottic cancer of the larynx, which spreads within PGS, is characterized by a high incidence of laryn...

OBJECTIVE The aim of this study was to analyze the functional and oncologic results of supracricoid partial laryngectomy. STUDY DESIGN Case series with chart review. SETTING Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey. SUBJECT AND METHODS The medical records of 56 patients, who underwent supracricoid partial laryngectomy between March 2002 and December 20...

Introduction  There is a common opinion that losing airway functions in total laryngectomy patients cause changes in nasal physiological rates. Studies conducted to review the subject present gaps, especially in terms of objective measurements. Objective  We evaluated late-term effects of surgery on nasal functions in patients who underwent total laryngectomy surgery more than two years ago. Me...

OBJECTIVE To compare voice and speech function in patients who underwent laryngectomy with that of 2 control groups. DESIGN A cross-sectional study comparing acoustic and temporal variables with perceptual evaluations in 3 subject groups. SETTING University hospital in Göteborg, Sweden. SUBJECTS Two groups of patients with laryngeal carcinoma were examined: 12 male patients who had laryng...

Organ preservation surgery in the larynx cancer started with cordectomy technique in 1850s. Leading laryngologists have described alternative techniques to total laryngectomy (TL). But the extent of their indications, resection limits and reconstruction problems led to oncological and functional failure. Therefore, these techniques were forgotten until 1950s. Studies on the embryology, surgical...

OBJECTIVE To compare and contrast functional speech outcomes of patients having undergone total laryngectomy and pharyngolaryngectomy who use tracheoesophageal speech as their primary mode of communication. DESIGN Group comparison design. SETTING Adult acute tertiary care hospital. PATIENTS Thirty patients who underwent total laryngectomy and 13 who underwent pharyngolaryngectomy with fre...

OBJECTIVES The goal of this study was to determine whether speech breathing changes over time in laryngectomy patients who use an electrolarynx, to explore the potential of using respiratory signals to control an artificial voice source. METHODS Respiratory patterns during serial speech tasks (counting, days of the week) with an electrolarynx were prospectively studied by inductance plethysmo...

With the current advances and recent organ preservation protocols for intermediate or advanced stage laryngeal cancer, based on chemotherapy, the role of surgery seemed replaced except for surgical rescue of tumours not responding to these treatments, total laryngectomy being the surgical option. This type of non-surgical treatment is offered as a strategy for organ preservation, as opposed to ...