Comparison of two voice prostheses for vocal restoration following laryngectomy.

Two prostheses for voice rehabilitation after laryngectomy were compared. A comparison was also made to evaluate the interchangeability of the two prostheses (Panje button and Blom-Singer duckbill) when only a single tracheoesophageal fistula was made. Fourteen laryngectomized patients were included in the study. Factors taken into account were voice quality, intelligibility, surgical technique, ease of insertion of the prostheses, patient preference, and care of each device. It was concluded that the Panje button in a Blom-Singer fistula offered better results when voice quality was compared. Patient selectivity is a factor important to the high success rate reported for voice restoration when either prosthesis is used. The development and success of these new prostheses is highlighted in a brief review of the literature.