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Tracheoesophageal speech following transmucosal pharyngeal myotomy with the potassium-titanyl-phosphate laser

Published online by Cambridge University Press:  29 June 2007

David J. Halvorson  and
Frederick A. Kuhn
David J. Halvorson*
Affiliation:
Department of Surgery, Division of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama
Frederick A. Kuhn
Affiliation:
Alabama and the Georgia Ear Institute, Savannah, Georgia, USA.
*
Address for correspondence: David J. Halvorson, M.D., Department of Surgery, Division of Otolaryngology, 1501 5th Avenue South, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA. Fax: (205) 934-3992
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Abstract

Successful communication following laryngectomy usually involves an electrolarynx or oesophageal speech. Only within the past decade has tracheoesophageal puncture been advocated for alaryngeal speech and evolved into the procedure of choice. Successful production of speech after total laryngectomy using tracheoesophageal speech may be impaired secondary to anatomical and functional difficulties. The primary limitation of tracheoesophageal speech is pharyngoesophageal spasm occurring in the upper oesophageal sphincter impeding airflow through this segment. Our report presents four patients who underwent a pharyngeal myotomy with the potassium-titanyl-phosphate (KTP) laser. Post-operatively, each patient was able to communicate with functional alaryngeal speech. A transmucosal pharyngeal myotomy may represent an alternative for patients with speech failure after tracheoesophageal puncture.

Keywords

Tracheoesophageal fistulaSurgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 7 , July 1997 , pp. 659 - 662
Copyright
Copyright © JLO (1984) Limited 1997

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