Voice rehabilitation with voice prosthesis post-laryngectomy: IPO-LFG ENT department expertise

Objectives: To determine and compare, retrospectively, the success rate of speech rehabilitation with voice prosthesis (VP) according to the age, radiotherapy (RT) status and total laryngectomy (TL) type: primary or salvage. Study design: By reviewing post-laryngectomy patients with voice prosthesis insertion between 2016-2022. Surgical and prosthesis complications, first prosthesis replacement and number of replacements per year were analysed. Material and Methods: Statistical analysis used t-student when there was normal distribution and Mann-Whitney when the group didn’t show normal distribution. P values <0.05 were considerer statistically significant. Results: In the groups age and type of TL, where was an absence of statistically significant difference in every variable. The post-RT group had, paradoxically, less prosthesis complications (p=0,036). Conclusion: Data had demonstrated that the benefits of a voice prosthesis protocol should not have age, salvage surgery and RT as restrictive factors.