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VOLUME 2 , ISSUE 3 ( September-December, 2010 ) > List of Articles


Rehabilitation after Total Laryngectomy

Arsheed Hussain Hakeem, Imtiyaz Hussain Hakeem, Anubha Garg

Keywords : Voice rehabilitation,Pulmonary rehabilitation,Olfactory rehablitation

Citation Information : Hakeem AH, Hakeem IH, Garg A. Rehabilitation after Total Laryngectomy. Int J Otorhinolaryngol Clin 2010; 2 (3):223-229.

DOI: 10.5005/jp-journals-10003-1040

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2010; The Author(s).


Comprehensive rehabilitation after total laryngectomy is more than just restoration of the voice alone. Due to central position in the upper aerodigestive tract, its removal requires rehabilitation of all three ‘systems’ depending on respiratory airflow, i.e. Voice, Pulmonary and Olfactory functions. Rehabilitation of speech takes preference, but pulmonary and olfactory rehabilitation require multidisciplinary team effort in order to achieve optimal results and good quality of life.

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  1. Speech and voice without larynx. Cas Lek Cas 1922;41:369–72.
  2. Clinical Voice Pathology (3rd edition). San Diego, CA: Singular Publishing Group, Inc. 2000.
  3. The ICF: A proposed framework for comprehensive rehabilitation of individuals who use alaryngeal speech. American Journal of Speech-Language Pathology, 2003;12:189–97.
  4. Nontracheoesophageal speech rehabilitation. Otolaryngologic Clinics of North America, 2004;37:613–25.
  5. Advances in alaryngeal communication and the art of tracheoesophageal (TE) voice restoration. The ASHA Leader, 9,6-7:20–21.
  6. Assessment in speech-language pathology: A resource manual. Clifton Park, NY: Delmar Learning, 2004.
  7. Clinical manual for laryngectomy and head/neck cancer rehabilitation. San Diego, CA: Singular Publishing Group, Inc, 1998.
  8. The development of successful tracheoesophageal voice restoration. Otolaryngologic Clinics of North America, 2004;37:507–17.
  9. Communication after laryngectomy. Radiology and Oncology 2001;35:249–54.
  10. History of the laryngectomy. Retrieved May 30, 2005, from:
  11. Difficulties in the fixation of prostheses for voice rehabilitation after aryngectomy. Acta Oto- Laryngologica 2005;125:804–13.
  12. Current status of voice restoration following total laryngectomy. Oncology 2000;14:915–22.
  13. Voice following laryngeal cancer surgery: Troubleshooting common problems after tracheoesophageal voice restoration. Otolaryngologic Clinics of North America, 2004;37:597–612.
  14. Rehabilitation of olfaction after laryngectomy by means of a nasal airflow-inducing maneuver. “The polite yawning” technique. Arch Otolaryngol Head Neck Surg 2000;126:726–32.
  15. Screening and rehabilitation of olfaction after total laryngectomy in Swedish patients. Arch Otolaryngol Head Neck Surg 2006;132:301–06.
  16. Surgical complications of tracheoesophagealpuncture and speech valves. Curr Opin Otolaryngol Head Neck Surg 2007;15:117–22.
  17. The outcome and techniques of primary and secondary tracheoesophageal puncture. Arch Otolaryngol Head Neck Surg 1994;120:301–07.
  18. Prosthetic voice rehabilitation after laryngectomy: Failures and complications after previous radiation therapy. HNO 2006;54:315–22.
  19. Postlaryngectomy voice rehabilitation: State of the art at the millennium. World J Surg 2003;27:824–31.
  20. Recent advances in the assessment of failed esophageal speakers. Br J Disord Commun 1985;20:229–36.
  21. Radiological assessment of postlaryngectomy speech. Clin Radiol 1990;41:312–16.
  22. Preoperative tracheoesophageal voice restoration assessment and selection criteria. In: Blom ED, Singer MI, Hamaker RC, editors. Tracheoesophageal Voice Restoration Following Total Laryngectomy. San Diego: Singular Publishing Group 1998;9–18.
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