The electrolarynx: voice restoration after total laryngectomy

Rachel Kaye,1 Christopher G Tang,2 Catherine F Sinclair3 1Department of Otolaryngology, New York Center for Voice and Swallowing Disorders, New York, NY, 2Department of Otolaryngology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, 3Department of Otolaryngology, Mount Sinai Icahn...

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Autores principales:	Kaye R, Tang CG, Sinclair CF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	electrolarynx voice restoration total laryngectomy Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/d4937c759bb24bec95c5cde3d0470bd0
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spelling	oai:doaj.org-article:d4937c759bb24bec95c5cde3d0470bd02021-12-02T07:09:22ZThe electrolarynx: voice restoration after total laryngectomy1179-1470https://doaj.org/article/d4937c759bb24bec95c5cde3d0470bd02017-06-01T00:00:00Zhttps://www.dovepress.com/the-electrolarynx-voice-restoration-after-total-laryngectomy-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Rachel Kaye,1 Christopher G Tang,2 Catherine F Sinclair3 1Department of Otolaryngology, New York Center for Voice and Swallowing Disorders, New York, NY, 2Department of Otolaryngology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, 3Department of Otolaryngology, Mount Sinai Icahn School of Medicine, New York, NY, USA Abstract: The ability to speak and communicate with one’s voice is a unique human characteristic and is fundamental to many activities of daily living, such as talking on the phone and speaking to loved ones. When the larynx is removed during a total laryngectomy (TL), loss of voice can lead to a devastating decrease in a patient’s quality of life, and precipitate significant frustration over their inability to communicate with others effectively. Over the past 50 years there have been many advances in techniques of voice restoration after TL. Currently, there are three main methods of voice restoration: the electrolarynx, esophageal speech, and tracheoesophageal speech through a tracheoesophageal puncture (TEP) with voice prosthesis. Although TEP voice is the current gold standard for vocal rehabilitation, a significant minority of patients cannot use or obtain TEP speech for various reasons. As such, the electrolarynx is a viable and useful alternative for these patients. This article will focus on voice restoration using an electrolarynx with the following objectives: 1) To provide an understanding of the importance of voice restoration after total laryngectomy. 2) To discuss how the electrolarynx may be used to restore voice following total laryngectomy. 3) To outline some of the current electrolarynx devices available, including their mechanism of action and limitations. 4) To compare pros and cons of electrolaryngeal speech to TEP and esophageal speech. Keywords: total laryngectomy, voice restoration, electrolarynx, esophageal speech, tracheoesophageal puncture, silent speech, electrolarynx mechanicsKaye RTang CGSinclair CFDove Medical Pressarticleelectrolarynx voice restoration total laryngectomyMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 10, Pp 133-140 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	electrolarynx voice restoration total laryngectomy Medical technology R855-855.5
spellingShingle	electrolarynx voice restoration total laryngectomy Medical technology R855-855.5 Kaye R Tang CG Sinclair CF The electrolarynx: voice restoration after total laryngectomy
description	Rachel Kaye,1 Christopher G Tang,2 Catherine F Sinclair3 1Department of Otolaryngology, New York Center for Voice and Swallowing Disorders, New York, NY, 2Department of Otolaryngology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, 3Department of Otolaryngology, Mount Sinai Icahn School of Medicine, New York, NY, USA Abstract: The ability to speak and communicate with one’s voice is a unique human characteristic and is fundamental to many activities of daily living, such as talking on the phone and speaking to loved ones. When the larynx is removed during a total laryngectomy (TL), loss of voice can lead to a devastating decrease in a patient’s quality of life, and precipitate significant frustration over their inability to communicate with others effectively. Over the past 50 years there have been many advances in techniques of voice restoration after TL. Currently, there are three main methods of voice restoration: the electrolarynx, esophageal speech, and tracheoesophageal speech through a tracheoesophageal puncture (TEP) with voice prosthesis. Although TEP voice is the current gold standard for vocal rehabilitation, a significant minority of patients cannot use or obtain TEP speech for various reasons. As such, the electrolarynx is a viable and useful alternative for these patients. This article will focus on voice restoration using an electrolarynx with the following objectives: 1) To provide an understanding of the importance of voice restoration after total laryngectomy. 2) To discuss how the electrolarynx may be used to restore voice following total laryngectomy. 3) To outline some of the current electrolarynx devices available, including their mechanism of action and limitations. 4) To compare pros and cons of electrolaryngeal speech to TEP and esophageal speech. Keywords: total laryngectomy, voice restoration, electrolarynx, esophageal speech, tracheoesophageal puncture, silent speech, electrolarynx mechanics
format	article
author	Kaye R Tang CG Sinclair CF
author_facet	Kaye R Tang CG Sinclair CF
author_sort	Kaye R
title	The electrolarynx: voice restoration after total laryngectomy
title_short	The electrolarynx: voice restoration after total laryngectomy
title_full	The electrolarynx: voice restoration after total laryngectomy
title_fullStr	The electrolarynx: voice restoration after total laryngectomy
title_full_unstemmed	The electrolarynx: voice restoration after total laryngectomy
title_sort	electrolarynx: voice restoration after total laryngectomy
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/d4937c759bb24bec95c5cde3d0470bd0
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The electrolarynx: voice restoration after total laryngectomy

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