Tracheogastric puncture for vocal rehabilitation following total pharyngolaryngoesophagectomy

Anthony J. Maniglia, Steven B. Leder, W. Jarrard Goodwin, Robert Sawyer, Clarence T. Sasaki

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Speech rehabilitation postpharyngolaryngoesophagectomy has not received significant emphasis. We describe our experience with fever patients who underwent a delayed tracheogastric puncture (TGP) after pharyngogastric anastomosis. When compared to patients who had undergone tracheoesophageal puncture (TEP) after laryngectomy, speech intelligibility and fluency were adequate for conversational speech, but voice quality was characterized by low pitch, reduced intensity, slower rate, and a 'wet' quality. There were no complications related to the TGP. TGP is a safe and often useful procedure for voice and speech restoration in patients who have undergone total pharyngolaryngoesophagectomy and pharyngogastric anastomosis.

Original languageEnglish (US)
Pages (from-to)524-527
Number of pages4
JournalHead & Neck
Issue number6
StatePublished - Jan 1 1989
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology


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