• It has been the aim of surgeons since Billroth first described laryngectomy to restore speech to the patient. However, a substantial percentage of patients fail to develop esophageal speech. Many authors have confirmed the success of the tracheoesophageal fistula procedure as a means of surgical voice restoration as a secondary procedure. We have performed tracheoesophageal puncture as a primary procedure at the time of laryngectomy in 36 patients, with a success rate of 89%. We believe that primary puncture is the method of choice for surgical voice restoration following laryngectomy.
(Arch Otolaryngol Head Neck Surg 1988;114:1419-1421)
Milford CA, Perry AR, Mugliston TA, Cheesman AD, BAILEY BJ. A British Experience of Surgical Voice Restoration as a Primary Procedure. Arch Otolaryngol Head Neck Surg. 1988;114(12):1419–1421. doi:10.1001/archotol.1988.01860240069026
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