Background: rehabilitation of individuals with total laryngectomy. Aim: to correlate the voice and speech proficiency of individuals with total laryngectomy, users of tracheoesophageal, prosthesis with the intraluminal pharyngoesophageal transition pressure at rest and during phonation. Method: twelve individuals with total laryngectomy and with tracheoesophageal voice, users of speech prosthes...

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 ...

Division of Head and Neck Surgery, Department of Otolaryngology – Head and Neck Surgery, Stanford University, Stanford, California, Department of Otorhinolaryngology – Head and Neck Surgery, University de Paris V-Descartes, Hôpital Europ een Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Paris, France, Department of Otolaryngology – Head and Neck Surgery, Medical University of Sou...

OBJECTIVE To assess the long-term results of the nasal airflow-inducing maneuver in olfaction rehabilitation in patients who had undergone laryngectomy. DESIGN Prospective interventional study. SETTING University hospital. PATIENTS Twenty-four patients who had undergone laryngectomy (21 men and 3 women; mean age, 68 years) who received olfactory rehabilitation with the nasal airflow-induc...

BACKGROUND It has often been argued that if patients' success with speech rehabilitation after laryngectomy is limited, it is the result of lacking motivation on their part. This project investigated the role of motivation in speech rehabilitation. METHODS In a multicenter prospective cohort study, 141 laryngectomees were interviewed at the beginning of rehabilitation and 1 year after larynge...

BACKGROUND The impact of a total laryngectomy on an individual's life has primarily been measured from a male viewpoint reflecting the demographics of a diagnosis of laryngeal cancer. A small number of studies have looked specifically at females, but very few are comparison studies. Consequently, there is little consistent research regarding any potential gender differences. AIMS To investiga...

OBJECTIVES/HYPOTHESIS Primary tracheoesophageal puncture (TEP) is a well-described and accepted method of surgical voice restoration and is standardly completed with a catheter placement intraoperatively, which is replaced with a prosthesis at a later date. This study evaluates the intraoperative placement of the voice prosthesis at the time of the primary TEP in an effort to understand the pot...

Patients with larynx cancer often lose their voice following total laryngectomy. Current methods for post-laryngectomy voice restoration are all unsatisfactory due to different reasons: requires frequent replacement due to biofilm growth (tracheo-oesoephageal valve), speech sounds gruff and masculine (oesophageal speech) or robotic (electro-larynx) and, in general, are difficult to master (oeso...

BACKGROUND The purpose of this study was to use time trade-off to assess the factors influencing patients' decisions in advanced laryngeal cancer. Time trade-off is a well-established method of assessing how individuals value a particular health state. METHODS We developed vignettes depicting life after chemoradiotherapy or laryngectomy. One hundred fourteen participants ranked them, assigned...

BACKGROUND Cancer of the larynx in the intermediate/advanced stage still presents a major challenge in terms of controlling the disease and preserving the organ. Among therapeutic options, open partial horizontal laryngectomy is proposed as a function-sparing surgical technique. METHODS We analyzed the clinical outcomes of 555 patients with laryngeal cancer staged pT3 to pT4a who underwent op...