[Vocal rehabilitation of the laryngectomized patient using tracheo-esophageal puncture and phonatory prosthesis].

We present the results of 25 tracheo-esophageal punctures (20 primary and 5 secondary) followed by insertion of a voice prosthesis, as a method of voice restoration after total laryngectomy. This method is compared with the other three commonly used (tracheo-esophageal fistuloplasty, esophageal voice, and electrolarynx), and a personal variation (Burgués) of the primary tracho-esophageal puncture technique is presented.