Authors: Dworkin JP, Dickson MJ, Simpson ML, Stachler RJ, Yoo GH
Title: Tracheoesophageal Speech Rehabilitation: Managing Complications to Ensure Successful Treatment Outcomes
Source: Journal of Medical Speech Language Pathology 2006 14(2): 97-108
Year: 2006
Research Design: Case Series

This investigation appraises the results of tracheoesophageal puncture (TEP) surgical voice restoration, at our institution over a 5-year period, in patients with endolaryngeal tumors who did not require loco-regional or free flap reconstructions to create the neoglottis. Of 161 total laryngectomies performed at this institution from March 1998 through March 2003, 50 patients were identified who met these primary inclusion criteria. A retrospective chart review of these patients was conducted. Results revealed that 94% of the study population achieved proficient tracheoesophageal speech rehabilitation following laryngectomy using the TEP method. However, successful outcomes in the majority of the study population were highly dependent on differential diagnosis ∧ management of commonly occurring TEP complications. Specific strategies that were employed to overcome these sequelae are discussed.

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