Chinese Alaryngeal Speech Rehabilitation and Their Acoustical Characteristics-A Comprehensive Review

2015 ◽  
Vol 25 (2) ◽  
pp. 44 ◽  
Author(s):  
Lawrence Ng Manwa ◽  
Mingyue XIONG
Keyword(s):  
Comprehensive Review ◽  
Alaryngeal Speech ◽  
Speech Rehabilitation

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.

Does cognitive function influence alaryngeal speech rehabilitation?

Head & Neck ◽  
2006 ◽  
Vol 28 (5) ◽  
pp. 413-419 ◽  
Author(s):  
T. P. Ho ◽  
J. Gray ◽  
A. A. Ratcliffe ◽  
S. Rees ◽  
J. Rockey ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Alaryngeal Speech ◽  
Speech Rehabilitation

PHARYNGEAL PLEXUS NEURECTOMY FOR ALARYNGEAL SPEECH REHABILITATION

1986 ◽  
Vol 96 (1) ◽  
pp. 50???54 ◽  
Author(s):  
Mark I. Singer ◽  
Eric D. Blom ◽  
Ronald C. Hamaker
Keyword(s):  
Alaryngeal Speech ◽  
Speech Rehabilitation ◽  
Pharyngeal Plexus

Surgeons’ Reported Attitudes and Practices regarding Alaryngeal Speech

1990 ◽  
Vol 99 (3) ◽  
pp. 197-200 ◽  
Author(s):  
Patricia M. Webster ◽  
Marshall J. Duguay
Keyword(s):  
Negative Correlation ◽  
Attitudes And Practices ◽  
Alaryngeal Speech ◽  
The Past ◽  
Speech Rehabilitation ◽  
Current Trends ◽  
Referral Practices ◽  
Device Use ◽  
Tracheoesophageal Shunt

Attitudes and practices of 50 prominent laryngologic surgeons were surveyed to determine current trends and implications for postoperative speech rehabilitation. Data are available for 1,003 laryngectomy operations performed over the past 3-year period by the 22 responders (44%). Those surgeons responding indicated a preference toward tracheoesophageal shunt procedures. A negative correlation was noted between the increased number of tracheoesophageal shunt procedures and the age of the surgeon. Additional responses provided information regarding personal preferences for postlaryngectomy speech types, opinions regarding artificial device use, and speech rehabilitation referral practices.

Location of the Vibratory Segment in Tracheoesophageal Speakers

1985 ◽  
Vol 93 (3) ◽  
pp. 355-361 ◽  
Author(s):  
Stephen J. Wetmore ◽  
Stephenie P. Ryan ◽  
James C. Montague ◽  
Kathleen Krueger ◽  
Kathleen Wesson ◽  
...  
Keyword(s):  
Alimentary Tract ◽  
Cervical Vertebrae ◽  
Cervical Esophagus ◽  
Viable Option ◽  
Voice Restoration ◽  
Alaryngeal Speech ◽  
Pharyngoesophageal Segment ◽  
Speech Rehabilitation ◽  
Esophageal Speech ◽  
Tracheoesophageal Puncture

The Singer-Blom tracheoesophageal puncture procedure for surgical-prosthetic voice restoration has proved to be a viable option for alaryngeal speech rehabilitation. Following tracheoesophageal puncture, occlusion of the tracheostoma shunts pulmonary air through the Blom-Singer prosthesis into the cervical esophagus. The pulmonary air passing through the cervical esophagus and into the hypopharynx causes a portion of the upper alimentary tract to vibrate in a manner similar to that of the pharyngoesophageal segment during the production of esophageal speech. To study the location and shape of the vibratory segment in tracheoesophageal speakers, videofluoroscopy and simultaneous voice recording were performed with 16 patients. To analyze the vibratory segment(s), photographs were made of the videotaped image white it was stopped during the patients' production of the /a/ sound. The most frequent location of the vibratory segment was in the lower third of the neck, which corresponds to cervical vertebrae C5 through C7. Five of the subjects had two separate vibratory segments and two other subjects had long vibratory segments. The vibratory segment(s) in tracheoesophageal speakers was found to be similar to the vibratory segment(s) in esophageal speakers.

Seeking to Better Understand Factors That Influence Postlaryngectomy Speech Rehabilitation

2012 ◽  
Vol 22 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Philip C. Doyle
Keyword(s):  
Treatment Outcomes ◽  
Total Laryngectomy ◽  
Speech Intelligibility ◽  
Traditional Treatment ◽  
Alaryngeal Speech ◽  
Speech Rehabilitation ◽  
Communicative Success

In this article, we seek to re-examine traditional treatment outcomes related to communicative success after total laryngectomy. Specifically, the three most common alaryngeal speech methods are presented in relation to typical speech intelligibility outcomes. Factors that interact with intelligibility highlight how formal measures of intelligibility are necessary, but insufficient, for determining communicative success. A multidimensional context in which the communicative dyad is presented as an additional factor must be considered. In this paper, we outline several clinical examples that highlight the importance of this factor and its implications for rehabilitation.

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