Voice Restoration After Total Laryngectomy

Otolaryngol Clin North Am. 2015 Aug;48(4):687-702. doi: 10.1016/j.otc.2015.04.013. Epub 2015 Jun 18.

Abstract

The ability to speak and communicate vocally is a unique human characteristic that is often taken for granted but is fundamental to many activities of daily living. Loss of voice after total laryngectomy can lead to a serious decrease in quality of life and can precipitate significant frustration over the inability to communicate effectively. There are 3 main methods of voice restoration: esophageal speech, usage of the electrolarynx, and tracheal-esophageal puncture for tracheal-esophageal speech, which can be performed primarily or secondarily. Although all 3 methods have potential benefits, the gold standard is tracheal-esophageal speech.

Keywords: Electrolarynx; Esophageal speech; Total laryngectomy; Tracheoesophageal puncture; Voice restoration.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living
  • Esophagus / surgery
  • Humans
  • Laryngeal Neoplasms / rehabilitation*
  • Laryngeal Neoplasms / surgery*
  • Laryngectomy / methods*
  • Larynx, Artificial*
  • Punctures / methods*
  • Quality of Life
  • Speech, Esophageal / methods*
  • Trachea / surgery