Botulinum toxin injection to improve tracheoesophageal speech after total laryngectomy.

  title={Botulinum toxin injection to improve tracheoesophageal speech after total laryngectomy.},
  author={Michele Zormeier and Robert J. Meleca and M. Lynn Simpson and James Paul Dworkin and Robin Klein and Myron D. Gross and Robert H. Mathog},
  journal={Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery},
  volume={120 3},
Total laryngectomy patients, after undergoing a tracheoesophageal puncture (TEP), may have poor TEP speech because of hypertonicity or spasm of the pharyngoesophageal segment (PES). Conventional treatment options include speech therapy, PES dilation, pharyngeal neurectomy, and myotomy. Botulinum toxin injection into the PES has recently been reported to be effective for this disorder. However, data accumulated were based primarily on subjective analyses. This prospective investigation used both… CONTINUE READING
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