Effect of Aging on Tracheoesophageal Speech Rehabilitation

Objective: 1) To determine whether tracheoesophageal puncture usage changes as a function of age. 2) To determine whether age is associated with voice deteroriation, need for repuncture, or dependence in stomal care.Method: Retrospective chart review on individuals following total laryngectomy and tracheoesophageal puncture (TEP) and minimum 1-year follow-up data after prosthesis placement. Data reviewed included demographic variables and medical/surgical factors related to laryngectomy. Outcome measures of voice deterioration, TEP use, repuncture, and change in dependent prosthesis management were compared with age.Results: Sixty-nine individuals were identified that met criteria; 58 men and 11 women. Mean age was 65 years (range, 43-88 years). Nine individuals, mean age of 70.0 years, did not use their prosthesis for speech purposes; 2 chose never to use it and the remainder became unable to speak due to further medical issues. Deterioration in speech was further noted in five individuals, mean age of 7...