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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 ]
Transgender women make up most of the patients of feminization laryngoplasty. During puberty, testosterone, a male sex hormone produced by the testes, causes the diameter of the larynx to increase and the vocal folds to thicken and lengthen. This change is irreversible even with the help of feminizing hormone therapy.
A tracheo-esophageal puncture (or tracheoesophageal puncture) is a surgically created hole between the trachea (windpipe) and the esophagus (food pipe) in a person who has had a total laryngectomy, a surgery where the larynx (voice box) is removed. The purpose of the puncture is to restore a person’s ability to speak after the vocal cords ...
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Video Communication after laryngectomy (8:58), South East Coast Laryngectomy Support Groups (UK) [ 6 ] The use of an electrolarynx can cause social issues, for instance difficulty ordering food, drinks, or other items in noisy environments; [ 6 ] or, when answering a telephone, having the caller respond, "Am I talking to a computer?"
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The flange near the food pipe (esophageal flange) is more rigid than the tracheal flange, near the windpipe. The one-way valve can be molded in one piece with the prosthesis and is often supported by a fluoroplastic valve seat (a colored ring that is tightly secured into the shaft of the prosthesis, adding rigidity and which is radiopaque).