Voice evaluation of myomucosal shunt after total laryngectomy: Comparison with esophageal speech

1989 ◽  
Vol 10 (4) ◽  
pp. 267-272 ◽  
Author(s):  
D. Brasnu ◽  
M. Strome ◽  
L.Crevier Buchman ◽  
M.C. Pfauwadel ◽  
M. Menard ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Esophageal Speech

Investigation of intra-esophageal air kinetics and esophageal sphincters in patients with total laryngectomy during esophageal speech

2015 ◽  
Vol 272 (8) ◽  
pp. 1967-1972
Author(s):  
Aykut Bozan ◽  
Rukiye Vardar ◽  
Serdar Akyildiz ◽  
Tayfun Kirazli ◽  
Fatih Ogut ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Esophageal Speech

scholarly journals Possible factors of success in teaching esophageal speech

2015 ◽  
Vol 68 (1-2) ◽  
pp. 5-9 ◽  
Author(s):  
Sanja Kresic ◽  
Mila Veselinovic ◽  
Gordana Mumovic ◽  
Slobodan Mitrovic
Keyword(s):  
Total Laryngectomy ◽  
Esophageal Speech ◽  
Clinical Center ◽  
Significant Difference ◽  
Successful Group ◽  
Group 2 ◽  
Novi Sad ◽  
Nose And Throat ◽  
Group 1 ◽  
Voice And Speech

Introduction. Well-established esophageal voice and speech is the most human-like form of communication of laryngectomized patients. Material and Methods. The study sample consisted of 28 patients of the Department of Ear, Nose and Throat, Clinical Center of Vojvodina in Novi Sad. All patients underwent total laryngectomy because of laryngeal cancer previously confirmed. The patients were divided into two groups based on the success of mastering esophageal voice and speech, group 1 being successful and group 2 being unsuccessful. Results. All patients were subjected to total laryngectomy and had their hyoid bone removed (100%). Esophageal speech was rated excellent and good in 71% and 29% of patients from group 1, respectively. There was no significant difference between the successful (group 1) and unsuccessful group (group 2) in time when teaching began (c2 =5.14, p=0.023). Neither was there a statistically significant difference between these two groups regarding the methods applied in teaching esophageal speech (c2 = 2.02, p=0.155, which is greater than 0.05). Conclusion. The effectiveness of teaching esophageal speech depends significantly on the motivation of the patients. It was found that the patients who mastered esophageal speech successfully had been learning it longer than those who did not master it. The success in mastering esophageal speech did not depend on whether the patients were trained individually or collectively, whereas neither method of training was successful in group 2.

Phonation Using the Tracheo-Esophageal Shunt after Total Laryngectomy

1973 ◽  
Vol 38 (3) ◽  
pp. 369-373 ◽  
Author(s):  
Daniel H. Zwitman ◽  
Thomas C. Calcaterra
Keyword(s):  
Total Laryngectomy ◽  
Gastric Tube ◽  
New Method ◽  
Alaryngeal Speech ◽  
Speech Characteristics ◽  
Esophageal Speech

A functional speech mechanism was created during laryngectomy in five patients. The method used involved construction of a shunt between the esophagus inferior to the superior esophageal constrictor and membranous portion of the trachea. Speech produced with the tracheo-esophageal shunt was highly intelligible and is functional after the nasal gastric tube is removed. Speech characteristics resemble closely those of superior esophageal speech. Pitch, intensity, and intelligibility were comparable to superior alaryngeal speech, and cinefluorographic analysis revealed that the pseudoglottis frequently used by esophageal speakers also was used by speakers with tracheo-esophageal shunts. Late stenosis has been the primary disadvantage; a new method to eliminate closure is being investigated. Since the tracheo-esophageal shunt can be used effectively in communication, further patient application and construction modifications are warranted.

137e A Novel Esophageal Speech Retraining Method in Patients With Total Laryngectomy: the Role of Bio-Feedback by Intraesophageal Impedance

2012 ◽  
Vol 142 (5) ◽  
pp. S-36
Author(s):  
Mustafa Sahin ◽  
Fatih Ogut ◽  
Rukiye Vardar ◽  
Erkan Z. Engin ◽  
Serhat Bor
Keyword(s):  
Total Laryngectomy ◽  
Esophageal Speech

scholarly journals Near-total Laryngectomy: An Oncologically Safe Alternative

2014 ◽  
Vol 4 (1) ◽  
pp. 30-32
Author(s):  
Hitesh Verma
Keyword(s):  
Surgical Treatment ◽  
Treatment Modality ◽  
Total Laryngectomy ◽  
Voice Rehabilitation ◽  
Wide Field ◽  
Safe Alternative ◽  
Traditional Treatment ◽  
Esophageal Speech ◽  
Tracheoesophageal Shunt

ABSTRACT Traditional treatment for advanced transglottic laryngeal and hypopharyngeal cancers is wide field laryngectomy. Patients who undergo wide field laryngectomy must also undergo voice rehabilitation with a prosthesis, electrolarynx or esophageal speech. These are associated with complications, such as bloating of the stomach, stenosis, aspiration and difficulty with hygiene of the TEP prosthesis. Near-total laryngectomy is a surgical treatment modality, where speech is maintained by way of a dynamic myomucosal shunt. It was specially designed to overcome the serious complications of adynamic tracheoesophageal shunt methods. How to cite this article Dass A, Singhal SK, Gupta N, Verma H. Near-total Laryngectomy: An Oncologically Safe Alternative. Int J Phonosurg Laryngol 2014;4(1):30-32.

scholarly journals Investigation of Esophageal Speech Users after Total Laryngectomy

2014 ◽  
Vol 55 (3) ◽  
pp. 226-232
Author(s):  
Hidehiko Maeda ◽  
Noriko Nishizawa ◽  
Eiko Tamashige
Keyword(s):  
Total Laryngectomy ◽  
Esophageal Speech

Acoustic analysis of the voice in phonatory fistuloplasty after total laryngectomy

2000 ◽  
Vol 122 (5) ◽  
pp. 743-747 ◽  
Author(s):  
Mariano Rosique Arias ◽  
JosÉ Luis RamÓN ◽  
Matilde Campos ◽  
Juan JimÉNez Cervantes
Keyword(s):  
Total Laryngectomy ◽  
Acoustic Analysis ◽  
Voice Quality ◽  
Epidermoid Carcinoma ◽  
Esophageal Speech ◽  
Normal Voice ◽  
Carcinoma Of The Larynx ◽  
Male Patients ◽  
The Voice ◽  
Made In

A comparative study of the voice with sustained phonation of the vowel /a/ was made in 3 groups of male patients: (1) 20 patients receiving total laryngectomy for epidermoid carcinoma of the larynx who had acquired good voice quality after a phonatory fistuloplasty with a Herrmann voice prosthesis; (2) 20 patients undergoing total laryngectomy for epidermoid carcinoma of the larynx who had learned esophageal speech; and (3) 20 subjects with normal voices. Statistical analysis yielded significant differences in fundamental voice frequency between the 3 groups, with the patients with phonatory prostheses revealing the closest to a normal voice. For other parameters used, such as jitter, shimmer, and harmonics/noise ratio, voice quality with a phonatory prosthesis was similar to that obtained with esophageal speech.

scholarly journals The Evaluation of Intraesophageal Air Kinetics of Esophageal Speech Measuring by Multichannel Intraesophageal Impedance in Patients With Total Laryngectomy

2011 ◽  
Vol 140 (5) ◽  
pp. S-122 ◽  
Author(s):  
Aykut Bozan ◽  
Rukiye Vardar ◽  
Serdar Akyildiz ◽  
Esra Belen ◽  
Tayfun Kirazli ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Esophageal Speech ◽  
Kinetics Of

Acoustic Analysis of the Voice in Phonatory Fistuloplasty after Total Laryngectomy

2000 ◽  
Vol 122 (5) ◽  
pp. 743-747 ◽  
Author(s):  
Mariano Rosique Arias ◽  
José Luis Ramón ◽  
Matilde Campos ◽  
Juan Jiménez Cervantes
Keyword(s):  
Total Laryngectomy ◽  
Acoustic Analysis ◽  
Voice Quality ◽  
Epidermoid Carcinoma ◽  
Esophageal Speech ◽  
Normal Voice ◽  
Carcinoma Of The Larynx ◽  
Male Patients ◽  
The Voice ◽  
Made In

A comparative study of the voice with sustained phonation of the vowel /a/ was made in 3 groups of male patients: (1) 20 patients receiving total laryngectomy for epidermoid carcinoma of the larynx who had acquired good voice quality after a phonatory fistuloplasty with a Herrmann voice prosthesis; (2) 20 patients undergoing total laryngectomy for epidermoid carcinoma of the larynx who had learned esophageal speech; and (3) 20 subjects with normal voices. Statistical analysis yielded significant differences in fundamental voice frequency between the 3 groups, with the patients with phonatory prostheses revealing the closest to a normal voice. For other parameters used, such as jitter, shimmer, and harmonics/noise ratio, voice quality with a phonatory prosthesis was similar to that obtained with esophageal speech.

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