• The tracheoesophageal puncture techniques of secondary voice restoration have been applied to primary restoration at laryngectomy. Satisfactory speech resulted in 48 patients (69%). This figure was improved by revision surgery to 75% and case selection may produce even higher success rates.
(Arch Otolaryngol 1985;111:182-186)
Hamaker RC, Singer MI, Blom ED, Daniels HA. Primary Voice Restoration at Laryngectomy. Arch Otolaryngol. 1985;111(3):182–186. doi:10.1001/archotol.1985.00800050076011