A COMPARATIVE-STUDY OF SPEECH AFTER TOTAL LARYNGECTOMY AND TOTAL LARYNGOPHARYNGECTOMY

Quality of voice is an important factor in the consideration of treatm ent for advanced laryngeal cancer. This prospective study compared the speaking proficiency of patients who used the Blom-Singer valve after total laryngectomy and after total laryngopharyngectomy with jejunal graft reconstruction with that of a group of normal subjects. The tota l laryngectomy group demonstrated excellent communication ability both face-to-face and on the telephone. They exhibited superior scores for objective intelligibility, subjective intelligibility, acceptability, and intonation when compared with the total laryngopharyngectomy grou p. Both surgical groups produced similar amplitude and frequency param eters during normal conversation but had limited reserve when these fu nctions were stressed. Despite these quantitative variations, patient acceptance was very high in both surgical groups. These results serve as a foundation for the evaluation and improvement of rehabilitation t echniques.