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.

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

A Comparative Acoustic Study of Normal, Esophageal, and Tracheoesophageal Speech Production

1984 ◽  
Vol 49 (2) ◽  
pp. 202-210 ◽  
Author(s):  
Joanne Robbins ◽  
Hilda B. Fisher ◽  
Eric C. Blom ◽  
Mark I. Singer
Keyword(s):  
Speech Production ◽  
Acoustic Characteristics ◽  
Intensity Measures ◽  
Vocal Rehabilitation ◽  
Alaryngeal Speech ◽  
Acoustic Study ◽  
Esophageal Speech ◽  
Audio Recordings ◽  
Tracheoesophageal Speech ◽  
Normal Speech

Acoustic characteristics of two types of alaryngeal speech were quantified and compared to normal speech production. High-quality audio recordings were obtained from 15 subjects who had undergone the tracheoesophageal puncture method of postlaryngectomy vocal rehabilitation (Singer & Blom, 1980), 15 esophageal speakers, and 15 laryngeal talkers as they sustained the vowel/a/and read a standard paragraph. Ten frequency, 7 intensity, and 13 duration variables were quantified. Central tendency and variability measures of frequency and duration for the three speaker groups indicated that tracheoesophageal speech is more similar to normal speech than is esophageal speech. Intensity measures indicated that tracheoesophageal speech is more intense than normal and esophageal speech.

Aortic Valve Replacement After Esophagectomy With Substernal Gastric Tube and Total Laryngectomy With Tracheostoma

2012 ◽  
Vol 94 (1) ◽  
pp. 271-273
Author(s):  
Naoto Fukunaga ◽  
Yukikatsu Okada ◽  
Yasunobu Konishi ◽  
Takashi Murashita ◽  
Mitsuru Yuzaki ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Total Laryngectomy ◽  
Gastric Tube

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.

About Sahli's Desmoid Test

1906 ◽  
Vol 6 (1) ◽  
pp. 56-58
Author(s):  
L. Aldor
Keyword(s):  
Gastric Tube ◽  
New Method ◽  
Great Expectations

Sahli's new method for the study of gastric chemistry by means of a desmoid test, published last year, has generated great expectations. Indeed, it was very tempting to do without the aid of a gastric tube, the use of which, not to mention the slovenliness of the method, often causes difficulties, especially for nervous individuals.

Applications of the Voice Prosthesis during Laryngectomy

1989 ◽  
Vol 98 (12) ◽  
pp. 921-925 ◽  
Author(s):  
Mark I. Singer ◽  
Eric D. Blom ◽  
Ronald C. Hamaker ◽  
Glen Y. Yoshida
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Alaryngeal Speech ◽  
Recent Introduction ◽  
Speech Rehabilitation ◽  
Tracheoesophageal Puncture ◽  
The Voice

With the recent introduction of the voice prosthesis for alaryngeal speech rehabilitation, its application in the early postlaryngectomy period is gaining acceptance. One hundred twenty-eight patients received a tracheoesophageal puncture and adjunctive pharyngeal constrictor relaxation during laryngectomy. The voice prosthesis was applied as early as 10 days after surgery, and the results of a 9-year experience are presented. Eighty percent of the population achieved a durable voice, and the complications were infrequent. The results support the primary use of tracheoesophageal phonation as a relatively safe and reliable alternative to total laryngectomy alone.

scholarly journals Coping and Quality of Life after Total Laryngectomy

2012 ◽  
Vol 146 (6) ◽  
pp. 959-965 ◽  
Author(s):  
Tanya L. Eadie ◽  
Brianne C. Bowker
Keyword(s):  
Quality Of Life ◽  
Total Laryngectomy ◽  
Demographic Data ◽  
Cross Sectional Survey ◽  
Ways Of Coping ◽  
Alaryngeal Speech ◽  
Patient Reported ◽  
Global Quality Of Life ◽  
Related Quality

Objective. To investigate how ways of coping and traditional factors (age, sex, time postlaryngectomy, stage of disease, radiation, alaryngeal speech method) predict global quality of life, head and neck cancer–specific quality of life, and voice-related quality-of-life outcomes after total laryngectomy. Study Design. Cross-sectional survey. Setting. University-based laboratory and speech clinic. Subjects and Methods. Sixty-seven individuals who underwent total laryngectomy secondary to cancer were recruited from support groups and professional contacts. Individuals were at minimum 9 months postlaryngectomy. All outcomes were patient reported and included demographic data as well as a number of validated questionnaires: the Ways of Coping–Cancer Version (WOC-CV) scale, the Voice-Related Quality of Life (V-RQOL) scale, and the University of Washington Quality of Life (UW-QOL) composite and global QOL scores. Results. Fifty-three individuals identified a stressful aspect of their laryngectomy. As a set, traditional variables (age, time postlaryngectomy, alaryngeal speech method) accounted for only 5% of global QOL scores but between 25% and 30% of the variance of composite UW-QOL and V-RQOL scores. Time postlaryngectomy was the strongest traditional predictor. Ways of coping accounted for 23% to 32% of all QOL scores. Avoidant coping strategies (both cognitive and behavioral escape) were among the strongest predictors of poorer QOL. When traditional variables were combined with ways of coping, they together accounted for 26% to 46% of the variance of QOL outcomes. Conclusion. Coping is important to consider when evaluating postlaryngectomy outcomes, above and beyond traditionally investigated factors.

A New Method of Esophageal Bypass: Gastric Tube with Good Flexibility and a Safe Anastomosis

2015 ◽  
Vol 221 (6) ◽  
pp. e119-e123 ◽  
Author(s):  
Masahiro Kimura ◽  
Hideyuki Ishiguro ◽  
Ryo Ogawa ◽  
Tatsuya Tanaka ◽  
Koji Mizoguchi
Keyword(s):  
Gastric Tube ◽  
New Method

Individual Speaker Influence on Relative Intelligibility of Esophageal Speech and Artificial Larynx Speech

1981 ◽  
Vol 46 (1) ◽  
pp. 77-80 ◽  
Author(s):  
Marti Butell Kalb ◽  
Mary A. Carpenter
Keyword(s):  
Alaryngeal Speech ◽  
Esophageal Speech ◽  
Artificial Larynx ◽  
Communication Methods ◽  
Individual Speaker

Comparisons were made of the relative intelligibility of esophageal and artificial larynx speech. Care was taken to minimize the variable effects of individual speaker characteristics. For example, rather than relying solely on data comparisons between groups of different speakers, contrasts were also made between sample from subjects who could use both means of alaryngeal speech. Fifteen proficient male laryngectomized speakers were selected. Five used only esophageal speech, five used only artificial larynx speech, and five produced both forms of speech. Recordings were made while the subjects read 50 PB (Phonetically Balanced) words embedded in a carrier phrase and were transcribed by 30 naive listeners. Differences in intelligibility between esophageal and artificial larynx speech resulted when data comparisons were based on different speaker groups. However, differences were not evident when data from the same speakers were compared. The results were interpreted to highlight the possible influence of individual speaker characteristics, rather than differences between communication methods.

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