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Voice Restoration

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Surgery of Larynx and Trachea

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Abstract

Surgical prosthetic voice restoration is the best possible option for patients to regain oral communication after total laryngectomy. It is considered to be the present “gold standard” for voice rehabilitation of laryngectomized individuals. Surgical prosthetic voice restoration, in essence, is always achievable in patients fit enough to tolerate total laryngectomy and motivated to regain optimal oral communication. Surgical prosthetic voice restoration requires a multidisciplinary team approach (physician, speech therapist, oncology nurse) to obtain optimal results. If a good prosthetic voice deteriorates, the underlying problem most likely requires prompt clinical consultation, and patients should be instructed accordingly. Most of the problems with prosthetic voice resto­ration are relatively simple and immediately solvable. If there is no immediate explanation for the inability to voice, a further search more often than not clarifies the cause and shows the way to solve the problem. Reconstruction of the pharynx with, for example, free revascularized or pedicled flaps does not preclude surgical p rosthetic voice restoration.

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Author information

Authors and Affiliations

  1. Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066, CX, Amsterdam, The Netherlands

    Frans J. M. Hilgers

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  1. Frans J. M. Hilgers
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  2. Alfons J. M. Balm
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  3. Michiel W. M. van den Brekel
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  4. I. Bing Tan
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Correspondence to Frans J. M. Hilgers .

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Editors and Affiliations

  1. Mont-Godinne, Univ. Hospital of Louvain at, Yvoir, 5530, Belgium

    Marc Remacle

  2. Hals-Nasen-Ohren Abteilung, Landeskrankenhaus Klagenfurt, St. Veiter Str. 47, Klagenfurt, 9026, Austria

    Hans Edmund Eckel

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Hilgers, F.J.M., Balm, A.J.M., van den Brekel, M.W.M., Tan, I.B. (2009). Voice Restoration. In: Remacle, M., Eckel, H. (eds) Surgery of Larynx and Trachea. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79136-2_21

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  • DOI: https://doi.org/10.1007/978-3-540-79136-2_21

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