Tracheoesophageal Voice Restoration After Salvage Total Laryngectomy Since the 1990s there has been a dramatic shift in the management of advanced laryngeal cancer. Today chemoradiation is often performed as a primary treatment with “salvage” total laryngectomy being performed subsequently if needed. In this article, the authors review the current protocols for the diagnosis of recurrent cancer, the ... Article
Article  |   July 01, 2009
Tracheoesophageal Voice Restoration After Salvage Total Laryngectomy
Author Affiliations & Notes
  • Donna J. Graville
    Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon
  • Andrew D. Palmer
    Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon
  • Mark K. Wax, MD
    Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon
  • Peter E. Andersen, MD
    Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Articles
Article   |   July 01, 2009
Tracheoesophageal Voice Restoration After Salvage Total Laryngectomy
SIG 3 Perspectives on Voice and Voice Disorders, July 2009, Vol. 19, 58-65. doi:10.1044/vvd19.2.58
SIG 3 Perspectives on Voice and Voice Disorders, July 2009, Vol. 19, 58-65. doi:10.1044/vvd19.2.58
Abstract

Since the 1990s there has been a dramatic shift in the management of advanced laryngeal cancer. Today chemoradiation is often performed as a primary treatment with “salvage” total laryngectomy being performed subsequently if needed. In this article, the authors review the current protocols for the diagnosis of recurrent cancer, the surgical and reconstructive techniques used, and the strategies for management of post-operative complications. There is a paucity of literature about the functional outcomes after this type of procedure. It is known that voice restoration with a tracheoesophageal puncture may be challenging in this population of patients due to the complications associated with their previous treatment. Nonetheless, with appropriate patient selection, careful problem-solving, and persistence, positive outcomes may be achieved.

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