Reconstruction of the Voice after Laryngectomy - Modern esophageal reconstruction usually achieved satisfactory results. Vocal reconstruction and rehabilitation, however, are still far from perfect. Fortunately, they are being improved progressively. Tracheo-esophageal puncture with a voice prosthesis, neoglottis, and voice tube shunts can be applied in addition to esophageal voice, artificial larynx, and various voice devices. With the possibility of vocal restoration, patients are more ready to accept laryngectomy when it is necessary. In the meantime, surgeons are more radical in tumor ablation so as to minimize the possibility of local recurrence./