TY - JOUR
T1 - Voice failure after tracheoesophageal puncture
T2 - Management with botulinum toxin
AU - Blitzer, Andrew
AU - Komisar, Arnold
AU - Baredes, Soly
AU - Brin, Mitchell F.
AU - Stewart, Celia
PY - 1995/12
Y1 - 1995/12
N2 - Primary or secondary tracheoesophageal puncture with a speaking prosthesis has provided rehabilitation of speech in most patients after total laryngectomy. Persistent constrictor spasm is thought to be responsible for a small percentage of these patients' inability to speak with the prosthesis. Management of these patients has included bougienage and pharyngeal myotomy and/or pharyngeal neurectomy. Botulinum toxin injections of the cricopharyngeus muscle complex in six patients have been successfully used diagnostically and therapeutically for tracheoesophageal puncture failures. The assessment, technique, and results are discussed. (OTOLARYNGOL HEAD NECK SURG 1995;113:668-70.).
AB - Primary or secondary tracheoesophageal puncture with a speaking prosthesis has provided rehabilitation of speech in most patients after total laryngectomy. Persistent constrictor spasm is thought to be responsible for a small percentage of these patients' inability to speak with the prosthesis. Management of these patients has included bougienage and pharyngeal myotomy and/or pharyngeal neurectomy. Botulinum toxin injections of the cricopharyngeus muscle complex in six patients have been successfully used diagnostically and therapeutically for tracheoesophageal puncture failures. The assessment, technique, and results are discussed. (OTOLARYNGOL HEAD NECK SURG 1995;113:668-70.).
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U2 - 10.1016/S0194-5998(95)70002-1
DO - 10.1016/S0194-5998(95)70002-1
M3 - Article
C2 - 7501374
AN - SCOPUS:0029590164
SN - 0194-5998
VL - 113
SP - 668
EP - 670
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 6
ER -