Advertisement

Vocal Rehabilitation Following Laryngectomy

  • Sudhir Bahadur
Chapter

Abstract

There have been several advances made in surgical techniques for conservation laryngectomy primarily for early lesions of the larynx providing excellent cure and functional results. Similarly, considerable advances have been made in chemoradiation for organ preservation in select advanced tumours. However, total laryngectomy still remains the gold standard for most advanced carcinoma of the larynx and hypopharynx and following salvage surgery in radiation failed cases. It is well realized that this surgical procedure results in permanent tracheo-stoma and loss of normal voice. Besides, there is loss of nasal function and changes in lung function, apart from increased cough and mucous formation. The swallowing ability is affected as well. These factors directly impact the QOL of these patients [1].

References

  1. 1.
    Rhys-Evans P, Bloom E. Functional restoration of speech. In: Rhys-Evans PH, Montogomery PG, Gullane PL, editors. Principles and practice of head and neck surgery and oncology. 1st ed. London: Martin Dunitz; 2003. p. 571–602.Google Scholar
  2. 2.
    Stafferi M, Procaccini A, Steiner W, et al. Surgical rehabilitation of speech after total laryngectomy. Laryngol Rhinol Otol. 1978;57:477–88.Google Scholar
  3. 3.
    Conley JJ, de Amesti F, Pierce MK. A new surgical technique for vocal rehabilitation of the laryngectomised patients. Ann Otol Rhinol Laryngol. 1972;67:655–64.CrossRefGoogle Scholar
  4. 4.
    Taub S, Spiro DH. Vocal rehabilitation of laryngectomecs. Am J Surg. 1972;124:87–90.CrossRefGoogle Scholar
  5. 5.
    Birchall MA. Laryngeal transplantation. Br J Surg. 1997;84:739–40.CrossRefGoogle Scholar
  6. 6.
    Gates GA, Hearne WN. Predicting Oesophageal speech. Ann Otol Rhinol Laryngol. 1982;91:454–7.CrossRefGoogle Scholar
  7. 7.
    Amatya RC, Bahadur S, Kacker SK. Oesophageal speech following laryngectomy. Indian J Otolaryngol. 1985;37:34–5.Google Scholar
  8. 8.
    Singer MI, Blom ED. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol. 1980;89:529–33.CrossRefGoogle Scholar
  9. 9.
    Singer MI, Blom ED, Hamekar RC. Further experience with voice restoration after total laryngectomy. Ann Otol Rhinol Laryngol. 1981;90:498–502.CrossRefGoogle Scholar
  10. 10.
    Panje WR. Prosthetic vocal rehabilitation following laryngectomy. Ann Otol Rhinol Laryngol. 1980;89:529–31.CrossRefGoogle Scholar
  11. 11.
    Kazi R, Rhys-Evans P, Clarke P. Voice restoration. In: Watkinson JC, Gilebrt R W, editors. Stell and Maran’s text book of head and neck surgery and oncology. London: Hodder Arnold; 2012. p. 1079.CrossRefGoogle Scholar
  12. 12.
    Nayak U, Kazi R. Voice restoration after total laryngectomy. In:Current science and future prospective. Delhi: Byword; 2009.Google Scholar
  13. 13.
    Hilgers FJM, Schouwenburg PF. A new low resistance, self retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy. Laryngoscope. 1990;100:1202–5.CrossRefGoogle Scholar
  14. 14.
    Hilgers FJM, Corndissen MW, Palm AJM. Aerodynamic characteristics of low resistance indwelling Provox voice prosthesis. Eur Arch Otolaryngol. 1993;250:378–80.CrossRefGoogle Scholar
  15. 15.
    Hilgers FJM, Ackerstaff AH, Balm AJM, et al. Development and clinical evaluation of second generation voice prosthesis (Provox 2) designed for antigrade and retrograde insertion. Acta Otolaryngol. 1997;117:889–95.CrossRefGoogle Scholar
  16. 16.
    Brown DH, Hilgers AJM, Irish JC, Balm AJM. Post laryngectomy voice rehabilitation state of Art at the Millenium. World J Surg. 2003;27:824–31.CrossRefGoogle Scholar
  17. 17.
    Blom ED, Singer MI, Hamaker RC. An improved insufflations test. Arch Otolaryngol. 1985;111:211–2.CrossRefGoogle Scholar
  18. 18.
    Bozee A, Poissonet G, Chamorey E, et al. Results of vocal rehabilitation using TE. Voice prosthesis after total laryngectomy and their predictive factors. Eur Arch Otolaryngol. 2010;267:751–8.CrossRefGoogle Scholar
  19. 19.
    Robertson SM, Yeo J, Dunnet C, et al. Voice, swallowing and quality of life after total laryngectomy. Results of West of Scotland laryngectomy audit. Head Neck. 2012;34:59–65.CrossRefGoogle Scholar
  20. 20.
    Monkarbel RV, Dayal PC, Yoo JH, et al. Voice-related quality of life (V-RQOL) outcomes in laryngectomees. Head Neck. 2011;33:31–6.CrossRefGoogle Scholar
  21. 21.
    Ameye D, Honraet K, Loose D, et al. Effect of a buccal bioadhesive nystatin tablet on the lifetime of a Provox silicon tracheo-oesophageal prosthesis. Acta Otolaryngol. 2005;125:304–6.CrossRefGoogle Scholar
  22. 22.
    Ackerstaff AH, Hilgers FJM, Meeuwis CA, et al. Multi-institutional assessment of the Provox voice prosthesis. Arch Otolaryngol Head Neck Surg. 1999;125:167–73.CrossRefGoogle Scholar
  23. 23.
    Aust MR, McCaffrey TV. Early speech results with the Provox prosthesis after laryngectomy. Arch Otolaryngol Head Neck Surg. 1997;123:966–70.CrossRefGoogle Scholar
  24. 24.
    Laccourney O, Menard M, Crevier-Buchman L, et al. In situ life time causes for replacement and complication of the Provox voice prosthesis. Laryngoscope. 1997;107:527–30.CrossRefGoogle Scholar
  25. 25.
    Thakar A, Bahadur S. Trouble shooting with Tracheo-oesophageal prosthesis. Indian J Otolaryngol Head Neck Surg. 2002;54:27–9.PubMedPubMedCentralGoogle Scholar
  26. 26.
    Molvor J, Evans PF, Perry A, Cheesman AD. Radiological assessment of post laryngectomy speech. Clin Radiol. 1990;41:312–6.CrossRefGoogle Scholar
  27. 27.
    Perry A. Preoperative tracheo-oesophageal voice restoration assessment and selection criteria. In: Blom ED, Singer MI, Hamekar RC, editors. Tracheo-oesophageal voice restoration following total laryngectomy. San Diego: Singular Publishing Group; 1998. p. 9–18.Google Scholar
  28. 28.
    Lewin JS, Bishop-Leone JK, Forman AD, et al. Further experience with Botox injection for tracheo-oesophageal speech failure. Head Neck. 2001;23:456–60.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Sudhir Bahadur
    • 1
  1. 1.Department of Otolaryngology and Head-Neck SurgeryFormerly at All India Institute of Medical SciencesNew DelhiIndia

Personalised recommendations