A Contemporary View of Tracheoesophageal Voice Restoration

Abstract

Voice restoration following total a laryngectomy has evolved over the past several decades. The patient who undergoes a total laryngectomy with tracheoesophageal (TE) puncture moves through several phases of treatment during their postoperative recovery and vocal restoration. The method of TE puncture is relatively simple; however, TE voice restoration is often complicated by the challenges associated with more intensive cancer treatment regimens, the geographical distance that impedes access to rehabilitative services, and myriad available products that require specialized knowledge and experience. In this article, we will provide a contemporary view of TE voice restoration, including its challenges for patients and clinicians. In addition, we will discuss the speech-language pathologist's role in the patient's rehabilitation, from providing evaluation and instruction regarding voice restoration and care of the stoma to ensuring the patient's transition back into their normal daily routine.