1.
Briefly discuss laryngeal speech options after total laryngectomy.
2.
Are there any contraindications to TEP speech?
3.
Describe management of prosthetic extrusion.
4.
Discuss the relevance of leakage around vs. leakage through a TEP.
5.
What is the Taub insufflation test? Why would one do this test?
6.
Discuss etiology and management of immediate vs. delayed aphonia after TEP placement.
7.
What role does the pharyngoesophageal segment play in esophageal speech?
8.
Why is it easier for most patients to learn TEP speech vs. esophageal speech?
9.
Deliver the pros and cons of primary TEP. Does prior neck irradiation change your plan for primary TEP?
10.
Give us an in-service on TE prostheses (indwelling vs. low-pressure etc.).
11.
What is the ideal trachostoma size? How does stoma size relate to success with TEP speech? How should you manage a stenotic stoma?
Reference(s):
Hutcheson, K. A., Lewin, J. S., Sturgis, E. M., Kapadia, A., & Risser, J. (2011). Enlarged tracheoesophageal puncture after total laryngectomy: a systematic review and meta-analysis. Head & Neck, 33(1), 20–30.
12.
What are some factors that affect TEP speech?
Reference(s):
van As-Brooks, C. J., Hilgers, F. J. M., Koopmans-van Beinum, F. J., & Pols, L. C. W. (2005). Anatomical and functional correlates of voice quality in tracheoesophageal speech. Journal of Voice : Official Journal of the Voice Foundation, 19(3), 360–372.
13.
Discuss various treatment options of cricopharyngeal spasm as a cause of aphonia in a TEP patient.
14.
Discuss voice restoration results after pharyngeal free flap reconstruction.
15.
What is the role of heat and moisture exchangers?
Reference(s):
Zuur, J. K., Muller, S. H., de Jongh, F. H. C., van Zandwijk, N., & Hilgers, F. J. M. (2006). The physiological rationale of heat and moisture exchangers in post-laryngectomy pulmonary rehabilitation: a review. European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology – Head and Neck Surgery, 263(1), 1–8.
16.
Discuss olfaction rehabilitation after laryngectomy?
Reference(s):
Moor, J. W., Rafferty, A., & Sood, S. (2010). Can laryngectomees smell? Considerations regarding olfactory rehabilitation following total laryngectomy. The Journal of Laryngology and Otology, 124(4), 361–365.
17.
What is the management of reflux in total laryngectomy patient’s immediately post-op and long term?
Reference(s):
Lorenz, K. J., Grieser, L., Ehrhart, T., & Maier, H. (2010). Role of reflux in tracheoesophageal fistula problems after laryngectomy. The Annals of Otology, Rhinology, and Laryngology, 119(11), 719–728.