Chapter 112 : Vocal and Speech Rehabilitation After Laryngectomy

Question 1

What is the gold standard for voice rehabilitation of laryngectomized patients?

Answer 1

Sugical prosthetic voice restoration

Question 2

Who did that first voice restoration in a total laryngectomy patient in 1873?

Answer 2

Billroth

Question 3

True or False: Primary prosthetic voice restoration is presently the method of choice for optimally reestablishing postlaryngectomy oral communication.

Answer 3

TRUE

Question 4

How many weeks do you delay the creation of tracheoesophageal puncture in patients who had undergone total laryngectomy with dissection of the esophagus (ie. Gastric pull-up procedure)?

Answer 4

4 -5 weeks

Question 5

What is the most frequent reason of failure to develop fluent prosthetic or esophageal speech in alaryngeal voicing?

Answer 5

Hypertonicity of the pharyngoesophageal segment

Question 6

This procedure prevents hypertonicity of the pharyngoesophageal segment.

Answer 6

short anteriorly positioned MYOTOMY OF THE CRICOPHARYNGEUS

Question 7

What is the name of the incision usually used in Total laryngectomy procedure?

Answer 7

Gluck-Sorensen (spelled in the chapter)/ Gluck-Sorenson (spelled in all other sources in the internet) incision

Question 8

What is the most important aspect in the creation of stable stoma from laryngectomy?

Answer 8

the cranial tracheal ring (“last” tracheal ring) whould remain intact

Question 9

How to prevent an excessively deep stoma?

Answer 9

cut the sternal heads of the SCM

Question 10

This kind closure is the preferred way to close the pharyngeal mucosa in total laryngectomy to avoid undue tension and avoid the creation of the pseudovallecula. (I-shape, T-shape, purely vertical, purely horizontal)

Answer 10

T-shape

Question 11

How many days, in post laryngectomy patients can a soft solid diet be resumed?

Answer 11

8 days

Question 12

True or False: a planned postop RT is contraindicated for tracheoesophageal puncture and immediate VP insertion

Answer 12

FALSE (substantial evidence in the literature suggests that this “controlled fistula” puncture procedure does not increase the incidence of wound complications and that as such, TEP with immediate VP fitting is a safe and reliable method)

Question 13

What is the most frequent reason for replacement of VP?

Answer 13

Leakage of fluid through the VP

Question 14

What is the main reason a silicone one-way valve starts to leak?

Answer 14

formation of biofilm in the silicone valve

Question 15

What is the widest diameter of a voice prosthesis?

Answer 15

22.5 Fr

Question 16

What is the first voice prosthesis commercially in Europe?

Answer 16

indwelling Groningen device

Question 17

What is the most widely used indwelling voice prosthesis in Europe?

Answer 17

Provox