Description:
<jats:sec><jats:title>Objectives:</jats:title><jats:p>Voice rehabilitation after total laryngectomy is a major socio‐economic challenge. Voice rehabilitation can be achieved by voice prostheses, which provide rapid patient satisfaction. Enlarged tracheo‐esophageal puncture is a frequent complication and can be difficult to manage.</jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p>A prospective study was conducted from November 2010 to October 2011 on 28 Blom‐Singer large esophageal and tracheal flange voice prostheses placed in 18 patients with enlarged tracheo‐esophageal puncture, causing leakage around the voice prosthesis.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>Leakage around the voice prosthesis resolved in all patients with a mean prosthesis lifespan of 95 days. The patients considered voice quality to be similar to that obtained with the initial voice prosthesis.</jats:p></jats:sec><jats:sec><jats:title>Conclusions:</jats:title><jats:p>The Blom‐Singer large esophageal and tracheal flange voice prosthesis is a useful solution for the management of periprosthetic leakage, ensuring similar voice quality and an identical lifespan to that of other voice prostheses.</jats:p></jats:sec>