Abstract
Many factors influence the acquisition of functional esophageal speech after total laryngectomy or pharyngolaryngoesophagectomy. The type and extent of surgery are also important. It is usually difficult for the patients who have had pharyngolaryngoesophagectomy, especially those with free jejunal transplants, to acquire functional esophageal speech.One patient with a free jejunal transplant fortunately acquired fluent esophageal speech. Examination of the pharyngoesophageal junction of this patient strongly suggested that the presence of a “functional” pharyngoesophageal junction is important for the acquisition of functional esophageal speech.
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