Main description:

The volume offers a comprehensive overview of voice rehabilitation after total laryngectomy through a multidisciplinary approach which is the result of the collaboration between otolaryngology specialists and speech therapists.

After a short introduction on total laryngectomy and voice recovery, the volume discusses patient selection for voice prosthesis. The following part describes the surgical steps for prosthesis implantation and replacement, the complications that may occur and their solutions. The fourth part focuses on voice rehabilitation. The closing part reviews the different types of voice prostheses and devices and their use and correct management for optimal respiratory, olfactory and speech rehabilitation.

Each topic addressed is supported by a wealth of detailed images and step-by-step videos. Given its features, the volume will be an invaluable tool for ENT specialists and speech therapists as well as residents in these fields.

Contents:

Introduction: Background. Problems related to total laryngectomy: loss of voice and smell, worsening of respiratory function. Types of voice recovery.- Preparation: Selection of patient to undergo prosthesis implantation (from recruitment to the psychological motivation of the patient). Choice of timing (primary vs secondary). Analysis of the impact factors on positioning, duration and prosthetic function (CH RT pre or post implantation)- Complications assessment related to the choice of timing.- Surgery: Basic surgical steps to ensure optimal functioning of the prosthesis (photos and/or videos). Prosthetic implantation (video and/or images). Detailed analysis of all complications after prosthesis implantation (from normal deterioration of the device, to surgical treatment of complications of tracheoesophageal fistula, closure and resizing of the diameter) and applicable solutions. Outpatient photo and/or video prosthesis replacement.- Rehabilitation: Respiratory, vocal and olfactory rehabilitation. Post-prosthesis quality of life.- Analysis of devices on the market (Provox - Blom-Singer): Description of the devices related to: respiratory tract protection, prosthesis management.- Conclusions