Current status of voice restoration following total laryngectomy

Total laryngectomy is the surgical procedure traditionally used to treat pa tients with advanced-stage cancer of the larynx. The impairments resulting from removal of such a small organ are, indeed,profound, They include loss of voice and speech; altered respiration, necessitating a permanent breathi ng opening in the neck; and diminished sense of smell and taste. When one c onsiders these factors, successful treatment of laryngeal cancer cannot be measured by survival rate alone. Rapid, effective restoration of voice and speech is one of the primary focuses of rehabilitation and is pivotal to th e prevention of the potential psychosocial and economic consequences of tot al laryngectomy. This article focuses on the methods of voice restoration c urrently being employed to reestablish the ability to speak.