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Surgery of Larynx and Trachea: Voice Restoration and Total Laryngectomy

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Textbook of Surgery of Larynx and Trachea

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Abstract

Successful voice restoration is a very important aspect for the quality of life of patients after total laryngectomy. Modern voice prostheses in a tracheoesophageal puncture are the golden standard to achieve good voice with reasonable effort. Scientific developments like an artificial larynx or a larynx transplantation have been published, but they did not change everyday care for laryngectomized patients. Detailed knowledge about voice prostheses, physiology of tracheoesophageal speech, technical aspects, and management of complications give health professionals the tools to guide patients through years of untroubled postlaryngectomy voice restoration. If voice prostheses are not available or cannot be used, fallback options for voice restorations like the electro-larynx and esophageal speech are shown. Due to modern chemo-radiation protocols, the number of laryngectomized patients is receding in many industrialized countries and patients with a primary laryngectomy become rare. As a consequence, the management of complications like leaking shunts and pharynx strictures becomes more and more challenging and requires the development of specialized centers to care for these patients.

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Authors and Affiliations

  1. Department of ENT & Head and Neck Surgery, Kinikum Mutterhaus der Borromäerinnen, Trier, Rhineland Palatinate, Germany

    Peter Kress

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  1. Peter Kress
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Correspondence to Peter Kress .

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Editors and Affiliations

  1. Department of Oto-Rhino-Laryngology, Centre Hospitalier de Luxembourg (CHL), Luxembourg, Luxembourg

    Marc Remacle

  2. Department of Oto-Rhino-Laryngology, A.ö. Landeskrankenhaus Klagenfurt, HNO, Klagenfurt, Austria

    Hans Edmund Eckel

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Kress, P. (2022). Surgery of Larynx and Trachea: Voice Restoration and Total Laryngectomy. In: Remacle, M., Eckel, H.E. (eds) Textbook of Surgery of Larynx and Trachea. Springer, Cham. https://doi.org/10.1007/978-3-031-09621-1_31

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  • DOI: https://doi.org/10.1007/978-3-031-09621-1_31

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