Download PDF
Semin Plast Surg 2010; 24(2): 227-232
DOI: 10.1055/s-0030-1255340
© Thieme Medical Publishers

Methods of Voice Reconstruction

Hung-Chi Chen1 , Karen F. Kim Evans2 , Christopher J. Salgado3 , Samir Mardini4
  • 1Department of Plastic Surgery, E-Da Hospital/I-Shou University, Jiau-shu Tsuen, Yan-chau Shiang, Kaohsiung County, Taiwan
  • 2Georgetown University Medical Center, Veterans Affairs Medical Center, Washington, District of Columbia
  • 3Division of Plastic Surgery, Department of Surgery, University of Miami, Miami, Florida
  • 4Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota
Further Information

Publication History

Publication Date:
21 June 2010 (online)

    Permissions and Reprints

ABSTRACT

This article reviews methods of voice reconstruction. Nonsurgical methods of voice reconstruction include electrolarynx, pneumatic artificial larynx, and esophageal speech. Surgical methods of voice reconstruction include neoglottis, tracheoesophageal puncture, and prosthesis. Tracheoesophageal puncture can be performed in patients with pedicled flaps such as colon interposition, jejunum, or gastric pull-up or in free flaps such as perforator flaps, jejunum, and colon flaps. Other flaps for voice reconstruction include the ileocolon flap and jejunum. Laryngeal transplantation is also reviewed.

KEYWORDS

Electrolarynx - esophageal speech - ileocolon flap for voice reconstruction - laryngeal transplantation - pneumatic artificial larynx - tracheoesophageal puncture - voice reconstruction

REFERENCES

  • 1 Gourin C G, Johnson J T. A contemporary review of indications for primary surgical care of patients with squamous cell carcinoma of the head and neck.  Laryngoscope. 2009;  119 2124-2134
    CrossrefPubMedGoogle Scholar
  • 2 Chen H C, Tang Y B, Chang M H. Reconstruction of the voice after laryngectomy.  Clin Plast Surg. 2001;  28 389-402
    PubMedGoogle Scholar
  • 3 Chen H C, Mardini S. Voice reconstruction with bowel transfer.  Semin Plast Surg. 2003;  17 319-330
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Chen H C, Tang Y B. Microsurgical reconstruction of the esophagus.  Semin Surg Oncol. 2000;  19 235-245
    CrossrefPubMedGoogle Scholar
  • 5 Van Den Berg J W. Myoelastic-aerodynamic theory of voice production.  J Speech Hear Res. 1958;  1 227-244
    PubMedGoogle Scholar
  • 6 Thomas L, Jones T M, Tandon S, Carding P, Lowe D, Rogers S. Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain.  Clin Otolaryngol. 2009;  34 34-42
    CrossrefPubMedGoogle Scholar
  • 7 Poulsen M, Porceddu S V, Kingsley P A, Tripcony L, Coman W. Locally advanced tonsillar squamous cell carcinoma: Treatment approach revisited.  Laryngoscope. 2007;  117 45-50
    CrossrefPubMedGoogle Scholar
  • 8 Epstein J B, Robertson M, Emerton S, Phillips N, Stevenson-Moore P. Quality of life and oral function in patients treated with radiation therapy for head and neck cancer.  Head Neck. 2001;  23 389-398
    CrossrefPubMedGoogle Scholar
  • 9 de Carpentier J P, Ryder W DJ, Saeed S R, Woolford T J. Survival times of Provox valves.  J Laryngol Otol. 1996;  110 37-42
    PubMedGoogle Scholar
  • 10 Delsupehe K, Zink I, Lejaegere M, Delaere P. Prospective randomized comparative study of tracheoesophageal voice prosthesis: Blom-Singer versus Provox.  Laryngoscope. 1998;  108 1561-1565
    CrossrefPubMedGoogle Scholar
  • 11 Hilgers F JM, Schouwenburg P F. A new low-resistance, self-retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy.  Laryngoscope. 1990;  100 1202-1207
    PubMedGoogle Scholar
  • 12 van den Hoogen F JA, Nijdam H F, Veenstra A, Manni J J. The Nijdam voice prosthesis: a self-retaining valveless voice prosthesis for vocal rehabilitation after total laryngectomy.  Acta Otolaryngol. 1996;  116 913-917
    CrossrefPubMedGoogle Scholar
  • 13 Terada T, Saeki N, Toh K et al.. Voice rehabilitation with Provox2 voice prosthesis following total laryngectomy for laryngeal and hypopharyngeal carcinoma.  Auris Nasus Larynx. 2007;  34 65-71
    CrossrefPubMedGoogle Scholar
  • 14 Nyquist G G, Hier M P, Dionisopoulos T, Black M J. Stricture associated with primary tracheoesophageal puncture after pharyngolaryngectomy and free jejunal interposition.  Head Neck. 2006;  28 205-209
    CrossrefPubMedGoogle Scholar
  • 15 Lau W F, Wei W I, Ho C M, Lam K H. Immediate tracheoesophageal puncture for voice restoration in laryngopharyngeal resection.  Am J Surg. 1988;  156 269-272
    CrossrefPubMedGoogle Scholar
  • 16 Parise Jr O, Cutait R, Corrêa P A, Miguel R E, de Angelis E C, Jorge S C. Primary placement of a voice prosthesis on transposed colon after total pharyngolaryngoesophagectomy.  Head Neck. 1999;  21 363-365
    CrossrefPubMedGoogle Scholar
  • 17 Pawar P V, Sayed S I, Kazi R, Jagade M V. Current status and future prospects in prosthetic voice rehabilitation following laryngectomy.  J Cancer Res Ther. 2008;  4 186-191
    CrossrefPubMedGoogle Scholar
  • 18 Baugh R F, Lewin J S, Baker S R. Vocal rehabilitation of tracheoesophageal speech failures.  Head Neck. 1990;  12 69-73
    CrossrefPubMedGoogle Scholar
  • 19 Silverman A H, Black M J. Efficacy of primary tracheoesophageal puncture in laryngectomy rehabilitation.  J Otolaryngol. 1994;  23 370-377
    PubMedGoogle Scholar
  • 20 Mardini S, Salgado C, Evans K, Chen H-C. Esophageal and voice reconstruction.  Plast Reconstr Surg. , In Press
    PubMedGoogle Scholar
  • 21 Azizzadeh B, Yafai S, Rawnsley J D et al.. Radial forearm free flap pharyngoesophageal reconstruction.  Laryngoscope. 2001;  111 807-810
    CrossrefPubMedGoogle Scholar
  • 22 Murray D J, Novak C B, Neligan P C. Fasciocutaneous free flaps in pharyngolaryngo-oesophageal reconstruction: a critical review of the literature.  J Plast Reconstr Aesthet Surg. 2008;  61 1148-1156
    CrossrefPubMedGoogle Scholar
  • 23 Yu P, Lewin J S, Reece G P, Robb G L. Comparison of clinical and functional outcomes and hospital costs following pharyngoesophageal reconstruction with the anterolateral thigh free flap versus the jejunal flap.  Plast Reconstr Surg. 2006;  117 968-974
    CrossrefPubMedGoogle Scholar
  • 24 Kawahara H, Shiraishi T, Yasugawa H, Okamura K, Shirakusa T. A new surgical technique for voice restoration after laryngopharyngoesophagectomy with a free ileocolic graft: preliminary report.  Surgery. 1992;  111 569-575
    PubMedGoogle Scholar
  • 25 Chen H C, Mardini S, Salgado C J, Ozkan O, Yang C W, Hou W H. Free microvascular transfer of the vermiform appendix for creation of a tracheo-oesophageal fistula: a new method of voice reconstruction.  J Plast Reconstr Aesthet Surg. 2006;  59 1233-1240
    CrossrefPubMedGoogle Scholar
  • 26 Kobayashi M, Meguro E, Hayakawa Y, Irinoda T, Noda Y. A new technique using free ileocaecal patch transplantation for secondary voice restoration after total laryngectomy.  J Plast Reconstr Aesthet Surg. 2008;  61 e5-e9
    CrossrefPubMedGoogle Scholar
  • 27 Sakurai H, Nozaki M. Reconstruction of the pharyngoesophagus with voice restoration.  Int J Clin Oncol. 2005;  10 243-246
    CrossrefPubMedGoogle Scholar
  • 28 Birchall M, Macchiarini P. Airway transplantation: a debate worth having?.  Transplantation. 2008;  85 1075-1080
    CrossrefPubMedGoogle Scholar
  • 29 Lorenz R R, Hicks D M, Shields Jr R W, Fritz M A, Strome M. Laryngeal nerve function after total laryngeal transplantation.  Otolaryngol Head Neck Surg. 2004;  131 1016-1018
    CrossrefPubMedGoogle Scholar
  • 30 Birchall M A, Lorenz R R, Berke G S et al.. Laryngeal transplantation in 2005: a review.  Am J Transplant. 2006;  6 20-26
    CrossrefPubMedGoogle Scholar
  • 31 Crumley R L. Laryngeal synkinesis revisited.  Ann Otol Rhinol Laryngol. 2000;  109 365-371
    PubMedGoogle Scholar
  • 32 Reynolds C C, Martinez S A, Furr A et al.. Risk acceptance in laryngeal transplantation.  Laryngoscope. 2006;  116 1770-1775
    CrossrefPubMedGoogle Scholar

Samir MardiniM.D. 

Associate Professor of Surgery, Division of Plastic Surgery

Mayo Clinic, 200 First Street SW, Rochester, MN 55905

Email: mardinis@aol.com

      >