Postlaryngectomy speech rehabilitation by a simplified, single-stage surgical method

Shedd, Donald P.; Bakamjian, Vahram Y.; Sako, Kumao; Schaaf, Norman G.; Mann, M

doi:10.1016/0002-9610(74)90264-5

Cited by 7 publications

(2 citation statements)

References 5 publications

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“…However many drawbacks still remain with these fistulae such as the leakage, the excoriation and inhalation. In addition Shedd et al 5 have shown on selective quantitative measures of speech proficiency for speakers using the air tunnel, the reed fistula and oesophageal speech, that the general speech effectiveness was not significantly different for either of the three types of speakers. For this reason oesophageal speech remains the overall mainstay for speech rehabilitation in the vast majority of laryngectomised patients, except for the highly selected patient who may be subjected to operation for surgical rehabilitation of speech.…”

Section: Indications For Surgical Rehabilitationmentioning

confidence: 97%

The role of speech therapy in the head and neck service

Dinner¹

1975

SAJCD

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The vital role of the speech therapist, in the multi-disciplinary approach to the rehabilitation of patients subjected to ablative surgery for malignant disease of the head and neck region, is reviewed. The role of the surgical techniques of speech rehabilitation of the laryngectomised patient, who has failed to respond to the therapist's instruction in oesophageal speech rehabilitation, is high-lighted. The deliberate pharyngeal fistula created from the pharynx to the skin surface, is connected by a "speech device" to the tracheostomy stoma. The diversion of expired pulmonary air into the pharynx allows for immediate articulation.

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Section: Indications For Surgical Rehabilitationmentioning

confidence: 97%

The role of speech therapy in the head and neck service

Dinner¹

1975

SAJCD

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“…Several procedures had their advocates. [1][2][3][4][5][6][7] Esophageal speech was the comparison standard, with no single surgical method withstanding the test of time. However, over the last 10 years, the tracheal esophageal puncture (TEP) procedure has gained wide acceptance.…”

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confidence: 99%

State of surgical speech rehabilitation after total laryngectomy

McConnel

1988

Head Neck

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This paper reports the present state of speech rehabilitation after total laryngectomy. The tracheal esophageal puncture (TEP) method has become the surgical treatment of choice for aphonia after total laryngectomy. The TEP method has been found to give higher speech acquisition rates and improved intelligibility over nonsurgical methods. TEP is being performed as a primary and secondary procedure with acceptable cornplication rates. As the prosthesis improves, the inherent disadvantages of a prosthetic method are being overcome. Long-term follow-up is still lacking to determine the permanent role of TEP in speech rehabilitation. HEAD & NECK SURGERY 1O:SlOl-S104,1988

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