Introduction Speech restoration is of great significance for the social and economic welfare of patients who undergo total laryngectomy. As outlined in Chapter 75 , Voice Restoration After Total Laryngectomy,…
Introduction Cancer of the tongue is most common in 60- to 70-year-old male drinkers and smokers but is also encountered in much younger and older individuals without a history of…
Introduction Stenosis of the tracheostoma following laryngectomy is an infrequent but distressing complication that may occur despite meticulous attention to the construction of the tracheostoma. Stenosis can result from a…
Introduction Although nonsurgical methods such as electrolarynx and esophageal speech are available for patients, tracheoesophageal puncture (TEP) is considered the best means of voice restoration after total laryngectomy (TL). A…
Introduction A tracheocutaneous fistula (TCF) is a sequela of a tracheostomy and is usually associated with an unsightly depressed tracheostomy scar ( Fig. 23.1 ). Formation of this fistula is…
Introduction Tracheal resection may be undertaken for tracheal strictures and tracheal tumors. Most commonly the trachea is exposed through a cervical incision, but for distal tracheal or carinal access either…
Introduction 1. Airway protection is the most fundamental role of the mammalian larynx. (See Additional Sources for in-depth discussion.) 2. For some patients, laryngeal function is compromised by disease processes…
Introduction • Tracheostomy is essentially a “shortcut” into the airway that “bypasses” the upper airway. • Most tracheostomies are performed for ventilator support in critically ill patients or as a…
Introduction Bronchoscopy is an important diagnostic tool that can also be used therapeutically. Both rigid ( Fig. 18.1 ) and flexible bronchoscopes ( Fig. 18.2 ) can be used, and…
Introduction Endoscopic percutaneous dilatational tracheostomy (PDT) is a safe and simple bedside procedure that is particularly well suited to patients in the intensive care unit (ICU). Almost two-thirds of tracheostomies…
