Post laryngectomy speech and voice rehabilitation: past, present and future

Abstract

pelvic surgery. 4 Consequently, patients with previous pelvic surgery and history of major inflammatory pelvic disease or acute cholecystectomy were also excluded from the hybrid NOTES approach. So we started offering the hybrid NOTES approach to women over 40 years old with no previous pelvic surgery or history of inflammatory pelvic disease. SILS was offered to male patients and women excluded from the hybrid NOTES approach being previous surgery in the upper right quadrant and gallbladder emphiema the main contraindications. At our department, nine female patients met the inclusion criteria to undergo hybrid transvaginal cholecystectomy. However, three preferred the SILS approach because of concerns about safety of the NOTES technique and potential for infectious complications related to the transvaginal approach. Peterson et al. 5 surveyed 100 women who were given a written description of MIS and NOTES surgery along with a 10-question survey exploring their concerns and opinions regarding transvaginal surgery. Women have a positive perception of transvaginal procedures and will want such procedures if they are found to be equivalent to laparoscopic surgeries, but infectious were a major concern for women who would not want transvaginal surgery as showed in our limited experience. In conclusion, NOTES and SILS are promising techniques which need new and dedicated instrumentations to reduce technical limitations.

The relationship between communicative participation and postlaryngectomy speech outcomes

“…After total laryngectomy, voice and speech rehabilitation is achieved through various options, including electrolaryngeal speech, esophageal speech, and tracheoesophageal speech. However, in the past 3 decades, tracheoesophageal puncture voice restoration has been used increasingly in postlaryngectomy voice rehabilitation . On acoustic parameters, such as fundamental frequency, sound level, speaking rate, and maximum phonation time, tracheoesophageal speech has been reported to more closely approximate typical laryngeal speech than either esophageal or electrolaryngeal speech .…”

“…However, in the past 3 decades, tracheoesophageal puncture voice restoration has been used increasingly in postlaryngectomy voice rehabilitation . On acoustic parameters, such as fundamental frequency, sound level, speaking rate, and maximum phonation time, tracheoesophageal speech has been reported to more closely approximate typical laryngeal speech than either esophageal or electrolaryngeal speech . Further, when unfamiliar listeners judge the intelligibility and acceptability of alaryngeal speech, tracheoesophageal speakers are typically ranked highest among the alaryngeal speech modes …”

Voice rehabilitation with the application of massage device “Medical 2VR” in patients after total laryngectomy

“…The patient should be aware of possible loss or reduction of voice, difficulties in swallowing, change in the way of breathing, pain and psychological tensions associated with operative treatment. Voice loss seems to be the most intolerable of all mentioned problems [5,6]. About 10-20% of patients after total removal of the larynx are unable to learn to speak despite the voice rehabilitation (the learning of oesophageal speech, voice prostheses, electronic larynx) [7,8].…”

Biofilm on the tracheoesophageal voice prosthesis: considerations for oral decontamination

“…In North America, tracheoesophageal (TE) voice restoration has been widely adopted since the TEP method was first published in 1979, with a success rate of >90% typically cited in cohorts of appropriately selected patients [2,3]. TEP necessitates lifelong use of a valved, silicone voice prosthesis (VP).…”