Factors influencing clinical consistency and variability in voice prosthesis management.

Purpose: Anecdotally it is recognised that management of tracheoesophageal speech (TES) post-laryngectomy varies between speech language pathology (SLP) services and clinicians. This study reviewed patterns of practice for TES management to examine patterns of practice and explore factors influencing variability.

Method: A national survey was completed by SLP's from clinical services which manage TES.

Objective and subjective changes in voice quality after radiotherapy for early (T1 or T2, N0) laryngeal cancer: a pilot prospective cohort study.

Background: Limited data exist on long-term voice quality after treatment for early laryngeal cancer. We report on the feasibility of establishing a dedicated service to assess changes after radiotherapy.

Methods: From June 1999 to December 2005, all patients referred for radical radiotherapy for early laryngeal cancers were invited to join a prospective cohort study.