Voice Rehabilitation after Laryngectomy

5.6.1 Briefly discuss laryngeal speech options after total laryngectomy.

5.6.2 Are there any contraindications to TEP speech?

5.6.3 Describe management of prosthetic extrusion.

5.6.4 Discuss the relevance of leakage around vs. leakage through a TEP.

5.6.5 What is the Taub insufflation test? Why would one do this test?

5.6.6 Discuss etiology and management of immediate vs. delayed aphonia after TEP placement.

5.6.7 What role does the pharyngoesophageal segment play in esophageal speech?

5.6.8 Why is it easier for most patients to learn TEP speech vs. esophageal speech?

5.6.9 Deliver the pros and cons of primary TEP. Does prior neck irradiation change your plan for primary TEP?

5.6.10 Give us an in-service on TE prostheses (indwelling vs. low-pressure etc.).

5.6.11 What is the ideal trachostoma size? How does stoma size relate to success with TEP speech? How should you manage a stenotic stoma?

5.6.12 Discuss various treatment options of cricopharyngeal spasm as a cause of aphonia in a TEP patient.

5.6.13 Discuss voice restoration results after pharyngeal free flap reconstruction.