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Surgical and Non-Surgical Voice Restoration After Total Laryngectomy-A Literature Review
摘要
Background: Total laryngectomy (TL) is a radical surgery compromising speech and swallowing. This may have an adverse effect on the patient's quality of life physically and functionally. To restore speech function after TL, there are non-surgical (i.e., esophageal speech, pneumatic artificial larynx, and electrolarynx) and surgical methods (i.e., modified radial forearm free flap with phonation tube, ileocolic free flap, and tracheoesophageal puncture) available in Taiwan. However, there is still no standardized guideline on how to create alaryngeal speech. Methods: A literature review. Results: This article provides a summary and comparison of those aforementioned methods for voice restoration after TL. Emphasis will be put on the surgical technique, special considerations, and possible surgical complications. Conclusions: Choice among these methods should be individualized based on the patient's characteristics and preference.
延伸閱讀
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