Hamaker R C, Singer M I, Blom E D, Daniels H A
Arch Otolaryngol. 1985 Mar;111(3):182-6. doi: 10.1001/archotol.1985.00800050076011.
The tracheoesophageal puncture techniques of secondary voice restoration have been applied to primary restoration at laryngectomy. Satisfactory speech resulted in 48 patients (69%). This figure was improved by revision surgery to 75% and case selection may produce even higher success rates.