The current era of organ preservation using chemo-radiotherapy (CRT) has made possible the preservation of larynx in patients with locally advanced laryngeal carcinoma. However, total laryngectomy still remains the treatment for a significant number of locally advanced cancers (T4) or as salvage procedure following failure of CRT. Total laryngectomy is associated with important consequences, the most important being the loss of voice. In the past few decades, post-laryngectomy rehabilitation has gained momentum and restoration of voice and quality of life have become important end-points.
Voice rehabilitation using prostheses was initially described in the 1980s, and several prostheses have since been devised. Initially, their usage was limited to a few centers in the developed world due to the prohibitive costs and limited avail-ability. These impediments have been overcome; with…
