Speech Possible After Tongue, Voice Box Removal A new surgical technique may help restore speech to head and neck cancer patients who have had their voice box and tongue removed. The technique, called a tracheoesophageal puncture (TEP), is an incision between the trachea and esophagus that is then fitted with a small plastic or silicone valve. Researchers from East Virginia Medical School claim that TEP, combined with post operative speech rehabilitation therapy, can provide understandable speech communication and improve the quality of life of select cancer patients who might otherwise be unable to talk. Two groups of cancer patients who underwent laryngectomies (removal of the voice box) and glossectomies (removal of the tongue) were evaluated to see how they would fare after a TEP. One group had a primary TEP, performed at the time of their laryngectomy and glossectomy. The other group received secondary TEP, performed after being screened from a population of head and neck cancer patients who had already had their tongues and voice boxes removed. After six months, researchers say all of the patients who received a secondary TEP were satisfied with their speech intelligibility results. However, those who had received a primary TEP did not develop functional speech. Patients were assessed according to their level of satisfaction with their speech and swallowing after the TEP along with audiovisual tape assessment of their progress. SOURCE: 6th International Conference on Head and Neck Cancer in Washington, D.C., Aug. 7-11, 2004 Thanks to Ivanhoe Newswire www.ivanhoe.com Remember we are NOT Doctors and have NO medical training. This site is like an Encylopedia - there are many pages, many links on many topics. Support our work with any size DONATION - see left side of any page - for how to donate. You can help raise awareness of CAM.