The great debate: Stroboscopy  vs high- speed imaging for assessment of alaryngeal phonation

Assessment of total laryngectomy patients has always been problematic and controversial. This is particularly so when one wants to assess and characterize the mucosal wave using the existing modalities of assessment. Videostroboscopy is generally regarded as an easily available and clinically relevant technique for adequately assessing this important parameter. However, it has its limitations, especially in laryngectomees. Recently, high-speed imaging has been recommended as the ideal tool for studying the physiology and mucosal parameters in this set of patients. In this brief article we examine this debate on the ′best′ modality for assessment of the total laryngectomy patient.