The incidence of total laryngectomy is definitely on the increase both in the United States and abroad. Martin1 reports that at least 1,315 laryngectomies were performed in the United States in 1952 compared to 846 in 1947. This represents an increase of 55%.These patients require the services of personnel trained in methods of speech rehabilitation for the laryngectomized. Equen2 has stated that "the laryngectomy without rehabilitation may serve only to prolong a miserable existence." The methods of speech production available to the laryngectomized patient include esophageal speech or the use of some type of artificial larynx. Esophageal speech is the method of choice for a majority of patients who have undergone the procedure and instruction in this method of voice production is offered in many institutions. There are some patients, however, who are unable to master esophageal speech even after an intensive program of therapy.
MILLER MH. The Responsibility of the Speech Therapist to the Laryngectomized Patient. AMA Arch Otolaryngol. 1959;70(2):211–216. doi:10.1001/archotol.1959.00730040217010
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