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TOTAL LARYNGECTOMY WITH PRIMARY VOICE RESTORATION
Authors:IAN Cole  STUART Miller
Abstract:Forty-three patients were prospectively studied following tracheo-oesophageal puncture at the time of laryngectomy (primary voice restoration). Blom-Singer voice prostheses were used. The surgery was regarded as successful if a patient continued to use the voice prosthesis as the major means of communication with clear intelligibility 4 months after the operation. Using this criterion, the success in this series was 70%. No attempt was made to assess the quality of speech. Complications and causes of failure are discussed.
Keywords:laryngectomy  tracheo-oesophageal fistula  voice reconstruction
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