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William W. Montgomery, MD

Arch Otolaryngol. 1972;95(1):76-83.

Abstract
Vocal rehabilitation is one of the most important aspects of the therapy offered to the laryngectomee. A one-stage operation for vocal rehabilitation, following total laryngectomy can aid this process. A mucous membrane communication between the hypopharynx and an anterior cervical cutaneous trephine incision is constructed during laryngectomy repair. The operation following laryngectomy involves the construction of a skin tube between the tracheostoma and pharyngostoma. A silicone tracheal tube is used for a short period following this reconstruction to facilitate the initiation of phonation. Experience with this procedure in 31 consecutive laryngectomies is discussed.

Author Affiliations
Boston

From the Massachusetts Eye and Ear Infirmary and the Department of Otolaryngology, Harvard University School of Medicine, Boston.

Footnotes
Accepted for publication July 28, 1971.

Read before the annual meeting of the American Academy of Facial Plastic and Reconstructive Surgery, San Francisco, May 25, 1971.

Reprint requests to 243 Charles St, Boston 02114 (Dr. Montgomery).

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