Some aspects of long-term use of domestic voice prostheses after laryngectomy (literature review and clinical observations)
https://doi.org/10.17650/2222-1468-2025-15-1-67-73
Abstract
The article reviews methods to restore voice function after laryngectomy. Special attention is paid to surgical methods, the history of the development of voice prostheses. The advantages and disadvantages, functional results, complications of each method of voice restoring are also analyzed, and the design of prostheses is described. Authors included clinical observations of the treatment of patients with malignant laryngeal tumors who underwent laryngectomy with tracheoesophageal bypass grafting and installation of domestic vocal prostheses. After surgery all patients have maintained voice function for a long time without replacing prostheses.
About the Authors
L. G. Kozhanov
Oncological Center No. 1 of the Moscow City Hospital named after S.S. Yudin of the Moscow Healthcare Department;
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
Bld. 7, 18a Zagorodnoe Shosse, Moscow 117152,
1 Ostrovityanova St., Moscow 117513
A. L. Kozhanov
Oncological Center No. 1 of the Moscow City Hospital named after S.S. Yudin of the Moscow Healthcare Department
Russian Federation
Russian Federation
Andrey Leonidovich Kozhanov
Bld. 7, 18a Zagorodnoe Shosse, Moscow 117152
References
1. Kozhanov L.G., Olshansky V.O. Restoration of vocal function after complete removal of the larynx using tracheoesophageal bypass surgery and endoprosthetics. In: Current issues of diagnosis and treatment of malignant tumors of the head and neck: collection of scientific works. Moscow, 1991. Pp. 77–80. (In Russ.).
2. Paches A.I. Opukholi golovy i shei: klinicheskoe rukovodstvo. 5th edn. Moscow: Prakticheskaya meditsina, 2013. (In Russ.).
3. Shah J.P., Patel S.G., Singh B. Head and neck surgery and oncology. Ed. by I.V. Reshetov. Moscow: Izdatel’skie Tekhnologii, 2016. (In Russ.).
4. The state of oncological care for the Russian population in 2023. Ed. by A.D. Kaprin, V.V. Starinsky, A.O. Shakhzadova. Moscow: MNIOI im. P.A. Gertsena – filial FGBU “NMITS radiologii” Minzdrava Rossii, 2024. (In Russ.).
5. Kozhanov L.G. Surgical methods of voice restoration after complete removal of the larynx. In: Functional-sparing treatment of patients with malignant tumors. Moscow, 1991. Pp. 43–46. (In Russ.).
6. Staffieri M. A new voice button for post – total laryngectomy speech rehabilitation. Laryngoscope 1988;98(9):1027–9. DOI: 10.1288/00005537-198809000-00019
7. Iype E.M., Janardhanan D., Patil S. et al. Voice rehabilitation after laryngectomy: a regional cancer centre experience and review of literature. Indian Jo Otolaryngol Head Neck Surge 2020;72(4):518–23. DOI: 10.1007/s12070-019-01707-w
8. Damste P.H. Basis forvocal rehabilitation of laryngectomized patients. Ann Otolaryngol 1959;76:1073–83. (In French).
9. Gates G.A., Ryan W., Cantu E., Hearne E. Current status of laryngectomee rehabilitation: II. Causes of failure. Am J Otolaryngol 1982;3(1):8–14. DOI: 10.1016/S0196-0709(82)80026-4
10. Van As C.J., Op De Coul B.M., Eysholdt U., Hilgers F.J. Value of digital highspeed endoscopy in addition to videofluoroscopic imaging of the neoglottis in tracheoesophageal speech. Acta Otolaryngol 2004;124(1):82–9. DOI: 10.1080/00016480310015290
11. Olshansky V.O., Kozhanov L.G., Lonsky W. Tracheoesophageal bypass surgery to restore vocal function after complete removal of the larynx due to cancer: a method. recommendations. Moscow, 1991. (In Russ.).
12. Lorenz K.J. Rehabilitation after total laryngectomy – atribute tothe pioneers of voice restoration in the last two centuries. Front Med (Lausanne) 2017;4:81. DOI: 10.3389/fmed.2017.00081
13. Tolchinsky V.V., Shvarcman A.Ya. Rehabilitation of vocal function with tracheopharyngeal bypass surgery during laryngectomy for laryngeal cancer. Zhurnal ushnykh, nosovykh, gorlovykh bolezney = Journal of Ear, Nasal, and Throat Diseases 1985;1:10–4. (In Russ.).
14. Kozhanov A.L., Kozhanov L.G. Historical and modern aspects of rehabilitation of voice function after laryngectomy. Vestnik otorinolaringologii = Russian Bulletin of Otorhinolaryngology 2023;88(1):64–70. (In Russ.). DOI: 10.17116/otorino20228801164
15. Kryukov A.I., Reshetov I.V., Kozhanov L.G. et al. The systemic approach to the rehabilitation of the patients presenting with laryngeal cancer after the resection of the organ and laryngectomy with tracheoesophageal by-pass and endoprosthetics. Vestnik otorinolaringologii = Russian Bulletin of Otorhinolaryngology 2016;81(4):54–9. (In Russ.). DOI: 10.17116/otorino201681454-59
16. Asai R. Laryngoplasty. J Jpn Broncho Esophagol Soc1960;12:1–3.
17. Dvornichenko V.V. The problem of rehabilitation of vocal function in laryngectomized patients. Sovremennaya onkologiya = Modern Oncology 2002;4(3):115–18. (In Russ.).
18. Singer M.I., Blom E.D. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol I980; 89(6 Pt. l):529–33. DOI: 10.1177/000348948008900608
19. Hilgers F.J., Ackerstaff A.H., Balm A.J. et al. Development and clinical evaluation of a second-generation voice prosthesis (Provox 2), designed for anterograde and retrograde insertion. Acta Otolaryngolog 1997;117(6):889–96. DOI: 10.3109/00016489709114220
20. Bozec A., Cube D., Poissonnet G., Dassonville O. Current role of total laryngectomy in the era of organ preservation. Cancers 2020;12(3):584. DOI: 10.3390/cancersl2030584
21. Hoffmann T.K. Total laryngectomy – still cutting-edge? Cancers 2021;13(6):1405. DOI: 10.3390/cancers13061405
22. Gussenbauer C. Über die erste durch Th. Billroth am ausgeführte Kehlkopf-Extirpation und die Anwendung eines künstlichen Kehlkopfes. Archivfür Klinische Chirurgie Berlin 1874;17:343–56. (In German).
23. Foulis D. Extirpation of the larynx. Lancet 1877;110(2824):530–2.
24. Bruns W. Vortrag übereine von ihm ausgeführte Totalextirpation des Kehlkopfes mit nachfolgender Einsetzung eines künstlichen Kehlkopfes. Württenbergmed Correspondenzblatt 1878;48:186–8. (In German).
25. Mozolewski E. Chirurgiczna rehabilitacja g(strok)losu i mowy polaryngektomii. Otolaryngologia Polska 1972;26(6):653–61. (In Polish).
26. Mozolewski E., Jach K., Tarnowa C., Dalek A. The simple semipermanent supratracheal valve prothesis after total laryngectomy. In: Speech restoration via voice protheses. Ed. by I.F. Herrmann Berlin: Springer, 1986.
27. Panje W.R. Prosthetic vocal rehabilitation following laryngectomy. The voice button. Ann Otol Rhinol Laryngol 1981;90(2 Pt. 1):116–20. DOI: 10.1177/000348948109000204
28. Hilgers F.J., Schouwenburg P.F. A new low-resistance, self-retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy. Laryngoscope 1990;100(11):1202–7. DOI: 10.1288/00005537-199011000-00014
29. Polyakov А.Р., Reshetov I.V., Ratushnyi M.V. et al. Restoration of the upper part of gastrointestinal tract and vocal function in patients after laryngectomy. Rossiyskaya otorinolaringologiya = Russian Otorhinolaryngology 2017;2:64–71. (In Russ.). DOI: 10.18692/1810-4800-2017-2-64-71
30. Chuikova A.Yu., Vozdvizhensky M.O., Makhonin A. A voice rehabilitation of patients after laryngectomy by means of tracheoesophageal shunting and voice prosthetics. Nauka i innovatsii v meditsine = Science and Innovation in Medicine 2018;1:26–30. (In Russ.).
31. Cocuzza S., Maniaci A., Grillo C. et al. Voice-related quality of life in post-laryngectomy rehabilitation: tracheoesophageal fistula’s wellness. Int J Environ Res Public Health 2020;17(12):4605. DOI: 10.3390/ijerphI7124605
32. Apert V., Carsuzaa F., Tonnerre D. et al. Speech restoration with tracheoesophageal prosthesis after total laryngectomy: an observational study of vocal results, complications and quality of life. Eur Ann Otorhinolaryngol Head Neck Dis 2022;139(2): 73–6. DOI: 10.1016/j.anorl.2021.05.008
33. Kuzmin E.N., Belotserkovsky I.V., Dolgina Yu.N. Microbiological flora of voice prostheses in patients after laryngectomy. Onkologicheski zhurnal = 2016;2(10):14–9. (In Russ.).
34. Shinkarev S.A., Boldyrev S.V., Zagadaev A.P. et al. Antimicrobial photodynamic therapy in voice rehabilitation of patients after laryngectomy. Biomedical Photonics 2021;10(1):11–6. (In Russ.). DOI: 10.24931/2413-9432-2021-10-1-11-16
35. Mayo-Yáñez M., Chiesa-Estomba C., Lechien J.R. et al. Longterm outcomes and cost-effectiveness of a magnet-based valve voice prosthesis for endoprosthesis leakage treatment. Eur Arch Otorhinolaryngol 2022;279(8):4167–72. DOI: 10.1007/s00405-022-07313-x
Review
For citations:
Kozhanov L.G., Kozhanov A.L. Some aspects of long-term use of domestic voice prostheses after laryngectomy (literature review and clinical observations). Head and Neck Tumors (HNT). 2025;15(1):67-73. (In Russ.) https://doi.org/10.17650/2222-1468-2025-15-1-67-73
Views:
99
Email this article 