T racheoesophageal puncture (TEP) is the preferred method for voice restoration following total laryngectomy. While several techniques for secondary puncture have been described, most require general anesthesia or intravenous sedation. Techniques for in-office, unsedated secondary TEP have been developed but are limited due to patient discomfort, inability to maintain direct visualization of th...

OBJECTIVE Evaluate the effects of the improvement of filtration, heating and humidification of inspired air with Cyranose heat and moisture exchanger (HME) on voice quality, breathing, and secretion handling in laryngectomized patients. DESIGN Prospective study. SETTING Fifteen laryngectomized patients, mean age 68, ages ranging from 50 to 91 years. METHODS Information was given to patien...

Background: Functional speech rehabilitation after total laryngectomy remains one of the most challenging issues in head and neck multidisciplinary care. Tracheoesophageal puncture for voice prosthesis insertion performed as a secondary procedure with a rigid esophagoscope and trocar can be technically difficult in certain patients due to post-treatment cervical abnormalities, such as reduced h...

PURPOSE To assess the effect of a program of singing training on the voice of total laryngectomees wearing tracheoesophageal voice prosthesis, considering the quality of alaryngeal phonation, vocal extension and the musical elements of tunning and legato. METHODS Five laryngectomees wearing tracheoesophageal voice prosthesis completed the singing training program over a period of three months...

Background: speech and voice training for laryngectomized patients with tracheoesophageal prosthesis. Aim: to compare the quality of oral communication of a group of laryngectomized patients with tracheoesophageal prostheses, pre and post speech and voice training. Method: voice and speech samples of 17 laryngectomized patients were analyzed before and after receiving speech and voice training....

OBJECTIVE To improve the voice quality of female laryngectomees and/or laryngectomees with a hypotonic pharyngoesophageal (PE) segment by means of a pneumatic artificial source of voice incorporated in a regular tracheoesophageal (TE) shunt valve. STUDY DESIGN Experimental, randomized, crossover trial. METHODS The new sound source consists of a single silicone lip, which performs an oscilla...