[Experiences of Voice Rehabilitation after total laryngectomy with the method of Staffieri. Comparing postoperative examinations within a period of two years (author's transl)].

The plastic-reconstructive method of voice rehabilitation described by Staffieri was controlled at 19 of 21 operated patients by regular check-ups within a period of nine months up to two years. The fistula of one patient had to be closed again. Three patients did not fulfill the expectations of talking again, but all three of them succeeded in learning the voice from the oesophagus. 15 patients--one of them had to be operated again--were able to speak with a well functional voice within eight months after the operation. Two of the three non talking patients were cured in a secondary way. The post-operative radio-therapy did not show any influence on nine talking patients. Only one of the talking patients noticed a slight, bothering aspiration whereas a group of five talking patients did not feel disturbed by a rare aspiration when drinking. There was not any aspiration when eating soft and solid food. In practising the operation method described by Staffieri dependent on strict indication considering to the tumour extension and the cooperation of the patients according to their age, we achieved a satisfactory success in our own operated cases.