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In 1869, the first artificial voice box (larynx) was built by Czermak. [1] In 1873 Theodor Billroth made a total laryngectomy (in steps) and implanted an artificial voice box. [1] [2] A new development, using modern materials, took place in France by Debry. [3]
Laryngectomy is the removal of the larynx. In a total laryngectomy, the entire larynx is removed (including the vocal folds, hyoid bone, epiglottis, thyroid and cricoid cartilage and a few tracheal cartilage rings) with the separation of the airway from the mouth, nose and esophagus. [1] In a partial laryngectomy, only a portion of the larynx ...
The main advantages of a primary puncture are: 1) that a second surgery to create the puncture is avoided (including the related costs and risks) and: 2) that the patient will be able to speak within a few weeks after total laryngectomy. [10] [11] There are cases where a primary procedure cannot be performed.
After a total laryngectomy, the upper airways are bypassed and breathing in and out occurs through the tracheostoma in the neck which means that the inhaled air flows directly into the lungs. These anatomical changes lead, among others, to changes in voice production, breathing, and olfaction .
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Another option for restoring speech after a laryngectomy is the tracheoesophageal puncture or TEP. In this simple surgical procedure, a small puncture is made between the trachea and the esophagus, and a one-way air valve is inserted. This air supply can be used to cause vibrations of the pharyngoesophageal sphincter in a similar manner to ...