This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Mark I. Singer, MD; Eric D. Blom, PhD

Arch Otolaryngol. 1981;107(11):670-673.

Abstract
• Reconstruction of the pharyngoesophagus after total laryngectomy avoids the development of salivary fistulae and restores satisfactory swallowing. Successful techniques for closure include multiple layers of tissue, selected suture materials, the application of postoperative radiation therapy, and modified neck dissection. In addition, vocal rehabilitation has been traditionally associated with the formation of a pharyngoesophageal segment capable of producing sound after air insufflation. A three-year experience with 129 patients after they underwent a total laryngectomy and tracheoesophageal shunt showed that 16 patients (12%) failed to achieve satisfactory speech after tracheoesophageal puncture because of pharyngoesophageal spasm. Response to percutaneous block of the pharyngeal plexus and subsequent myotomy of the cricopharyngeus and pharyngeal constrictor muscles was assessed in 14 patients. Increased pharyngoesophageal tone after total laryngectomy seems to be an important factor in the failure to acquire esophageal voice.

(Arch Otolaryngol 1981;107:670-673)

Author Affiliations
From the Methodist Hospital (Dr Singer) and the Audiology-Speech Pathology Service, Veterans Administration Medical Center (Dr Blom), Indianapolis.

Footnotes
Accepted for publication May 7, 1981.

Read before the combined meeting of the Society of Head and Neck Surgeons and the American Society for Head and Neck Surgery, Phoenix, Ariz, March 9, 1981.

Reprint requests to Head and Neck Associates, 1633 N Capitol Ave, Suite 780, Indianapolis, IN 46202 (Dr Singer).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Evaluation of the Effects of Primary Myotomy in Total Laryngectomy on the Neoglottis With the Use of Quantitative Videofluoroscopy
Op de Coul et al.
Arch Otolaryngol Head Neck Surg 2003;129:1000-1005.
ABSTRACT | FULL TEXT  

Quantitative Videofluoroscopy: A New Evaluation Tool for Tracheoesophageal Voice Production
van As et al.
Arch Otolaryngol Head Neck Surg 2001;127:161-169.
ABSTRACT | FULL TEXT  

Vibratory Analysis of the Neoglottis After Surgical Intervention of Cricopharyngeal Myotomy and Implantation of Tracheal Cartilage
Hirano et al.
Arch Otolaryngol Head Neck Surg 1999;125:1335-1340.
ABSTRACT | FULL TEXT  

The Outcome and Techniques of Primary and Secondary Tracheoesophageal Puncture
Kao et al.
Arch Otolaryngol Head Neck Surg 1994;120:301-307.
ABSTRACT  

Long-term Problems in Patients With Tracheoesophageal Puncture
Wang et al.
Arch Otolaryngol Head Neck Surg 1991;117:1273-1276.
ABSTRACT  

Aerodynamic Properties of the Low-Resistance Groningen Button
Zijlstra et al.
Arch Otolaryngol Head Neck Surg 1991;117:657-661.
ABSTRACT  

Secondary Tracheoesophageal Puncture for Voice Rehabilitation After Laryngectomy
Lavertu et al.
Arch Otolaryngol Head Neck Surg 1989;115:350-355.
ABSTRACT  

Primary Voice Restoration at Laryngectomy
Hamaker et al.
Arch Otolaryngol Head Neck Surg 1985;111:182-186.
ABSTRACT