Voice rehabilitation after laryngectomy.

Unfortunately, laryngeal cancer commonly presents at a stage necessitating total laryngectomy. Voice rehabilitation in the past has primarily been with the electrolarynx or esophageal speech. Tracheoesophageal puncture (TEP) is a technique that has replaced the other two methods as the rehabilitative procedure of choice in most total laryngectomy patients. This report details this technique, as well as a brief discussion of the etiology and treatment of laryngeal cancer.