Voice failure after tracheoesophageal puncture: Management with botulinum toxin

Andrew Blitzer, Arnold Komisar, Soly Baredes, Mitchell F. Brin, Celia Stewart

Research output: Contribution to journalArticle

Abstract

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.).

Original languageEnglish (US)
Pages (from-to)668-670
Number of pages3
JournalOtolaryngology - Head and Neck Surgery
Volume113
Issue number6
DOIs
StatePublished - Dec 1995

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ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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