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Christopher A. Milford, FRCS; Alison R. Perry, LCST; Terence A. Mugliston, FRCS; Anthony D. Cheesman, FRCS; BYRON J. BAILEY, MD

Arch Otolaryngol Head Neck Surg. 1988;114(12):1419-1421.

Abstract
• 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)

Author Affiliations
Chief Editor

From the Head and Neck Surgical Unit, Charing Cross Hospital, London.

Footnotes
Accepted for publication Sept 9, 1988.

Reprints not available.

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