[Long-term results of tracheoesophageal puncture for voice restoration after total laryngectomy].

Li Qingming, Zhang Baoquan, Gao Zhiqiang, Peng Peihong, Chen Xiaowei, Shi Xiuzhen, Xie Hong, Yi Haijin

Department of Otolaryngology-Head and Neck Surgery, Peking Union Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100730, China.

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Mar;19(6):241-3, 246.

OBJECTIVE

To evaluate the long-term results of tracheoesophageal puncture for Blom-Singer voice restoration after total laryngectomy and summarize our clinical experience of fifteen years.

METHOD

From 1986 to 2001, one hundred and thirty four cases with Blom-Singer technique after total laryngectomy for voice restoration were analyzed retrospectively. MDVP of Kay Elemetrics was used to analyze the acoustic parameters of eighteen cases with Blom-Singer indwelling voice prosthesis for 2-14 years.

RESULT

For all cases, the follow-up was two to fifteen years. From 1986 to 1989, seven of twelve cases were satisfied with their speech, the success rate was 58.3%. After the year of 1990, the success rate was 93.4% (114/122). The total success rate was 90.3% (121/134). The acoustic parameters of Blom-Singer indwelling voice prosthesis was far away from normal. The common complications included fistula granulations, infection, leakage.

CONCLUSION

The procedure of tracheoesophageal puncture for voice restoration is relatively simple and has low complications, high phonation success, good phonation quality, and steady long-term results, which is the best way to make laryngectomeel to speak. Pharyngoesophageal sphincter myotomy can raise the success rate of voice restoration by Blom-Singer indwelling voice prosthesis.