Radiological assessment of post laryngectomy speech

McIvor, J.; Evans, Peter; Perry, Alison; Cheesman, A. D.

doi:10.1016/s0009-9260(05)81691-5

Cited by 44 publications

(52 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, there is no vibration of pharyngeal mucosa and phonation 9,10,27,[30][31][32][33][34][35] . The spasm may be observed in the videofluoroscopy during phonation with VP 12,27,28,33,[35][36][37] and it is absent during swallowing, with relaxation of PES. In the constriction, there is no relaxation during swallowing.…”

Section: Discussionmentioning

confidence: 99%

“…In the constriction, there is no relaxation during swallowing. The treatment of this last case is dilation of PES 12,27,35 . These are natural protection mechanisms against gastroesophageal reflux but in patients with TL they become an obstacle for phonation rehabilitation 10,33,34 .…”

Section: Discussionmentioning

confidence: 99%

“…Esophageal voice rehabilitation has a success rate of 24% to 26% 6,12 and prosthesis with TEP has an increased success rate of 58% to 94% for immediate results of primary TEP and 61% to 64% for secondary TEP 6,8,10,11,[13][14][15][16][17] . Long-term results in the literature, with one-year follow up, ranged from 65% to 85% in primary and 69% to 83% in secondary approach 6,10,[13][14][15][17][18][19][20][21][22] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Chone

Spina

Crespo

et al. 2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

To evaluate long-term use of indwelling Blom-Singer voice prosthesis (VP) for vocal rehabilitation of patients submitted to total laryngectomy (TL). We studied the influence of time of performance of tracheo-esophageal puncture (TEP), use of radiotherapy (XRT), patients' age and length of followup, on the rate of success of use of VP. Study Design: clinical prospective. Material and Method: Seventy-one patients were submitted to TL and rehabilitated with indwelling VP. Both otolaryngologist and speech pathologist evaluated all patients for the vocal functional issues during the follow-up. The relative data on time of placement of VP, time of use of PF, use of XRT, age, length of follow-up and interval of duration of each VP were recorded during the follow-up. Results: There was 87% of patients with primary TEP and 13% with secondary. The follow-up varied from 12 to 87 months, with average of 38 months for primary and 51 months for secondary TEP. There were 59% of patients submitted to XRT. The general rate of success was of 94%. In primary TEP it was of 97% and in the secondary, it was 78% (p=0.07) and after two years, the success rate was of 96% in primary TEP and 75% in secondary TEP (p=0.07). The use of XRT and patient age did not influence the success of use of VP among primary and secondary TEP, independently of length of follow-up. Conclusion: Tendency to greater success rate in voice rehabilitation after TL with primary TEP was observed. Postoperative XRT and age did not influence success rate.Palavras-chave: câncer, laringe, reabilitação vocal, voz, prótese fonatória.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Chone

Spina

Crespo

et al. 2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

show abstract

“…Consequently, the pharyngeal mucosa does not vibrate, and there is no phonation. 1,[3][4][5][7][8][9]13,18 Spasm may be seen in videofluoroscopy done during phonation with the PP; 5,7,8,15,24 it is absent during swallowing when the PES relaxes. During constriction there is no relaxation when swallowing.…”

Section: Discussionmentioning

confidence: 99%

Reabilitação fonatória do laringectomizado total: utilização de toxina botulínica na voz tráqueo-esofágica com prótese fonatória

Chone

Teixeira

Andreollo

et al. 2008

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

In tracheo esophageal puncture (TEP), we carry out a myotomy of the pharynx constrictor muscle; however, about 9 to 79% of patients need such procedure. The consequence of such procedure is an increase in salivary fistula rates in the postoperative. Botulin toxin is used in an outpatient basis. Aim: analyzing the efficacy of botulin toxin (BT) use in the rehabilitation of totally laryngectomized patients with tracheoesophageal voice (TEV) with spasms (S) of the pharyngoesophageal segment (PES) without myotomy. Materials and Methods: We analyzed eight patients submitted to total laryngectomy (TL), rehabilitated with TEV, with speech prosthesis (SP) and struggle to utter voice because of PES spasms. They were all submitted to treatment of such motor alteration with the injection of 100 units of BT in the PES. The evaluation was based on perceptive voice analysis, video fluoroscopy (VF) of the PES, acoustic voice analysis and computerized manometry (CM) of the PES, all before and after BT injection. Study design: prospective. Results: There was a reduction in PES CM pressure after BT injection. Acoustic analysis showed an improvement in harmonics quality after treatment. There was smoother voice utterance and spasm improvement after BT. Conclusion: all patients with PES spasms presented vocal improvement after BT injection in the PES.

show abstract

“…This varies from hypotonia, where there is little approximation between the walls and the voice is weak and breathy, passing as normotonia, hypertonia, and culminating with spasms, characterized by the intense constriction of the PES and absence of emissions (5,19,20) . Several studies associated the lack of success of esophageal voice and TE voice with hypertonia, primarily, to spasms in the PES (4,9,21,22) . There is a limitation in the acoustic evaluation of TE voices, because these are quite aperiodic and present with very low frequencies, not always permitting the reliable extraction of the fundamental frequencies and other objective parameters (23)(24)(25) , thereby limiting the use of objective parameters in the acoustic evaluation in this population.…”

Section: Introductionmentioning

confidence: 99%

A new proposal for evaluation of the pharyngoesophageal segment and its relation with the narrow-band spectrogram in tracheoesophageal speakers

Fouquet

Behlau

Gonçalves

2013

CoDAS

View full text Add to dashboard Cite

PURPOSE: The primary purpose of this study was to assess the relationship between pharyngoesophageal segment (PES) configuration and narrow-band spectrogram of tracheoesophageal voices. METHODS: This study included 30 total laryngectomees tracheoesophageal speakers. Patients were assessed by videofluoroscopy (VF), during deglutition and voicing, and the vowel /a/ was recorded for spectrographic analysis. The evaluation of VF recording consisted of visual perceptual rating of degree of contact between the prominence of PES and its anterior wall, defined as absent/mild (hypo contact), moderate (normo contact) and intense (hyper contact); and quantitative measures of PES: anteroposterior distance (APD) and length of the PES (lenPES); PES surface area in swallowing (areaSw), and phonation (areaPh), and the area of the air reservoir (areaAir). Visual inspection of a narrow-band spectrogram was made and four different acoustic signal typing were defined as Type I, II, III or IV. RESULTS: Type I-II is correlated with moderate contact; Type III, with intense and Type IV, with absent/mild contact. Type I-II has bigger APD and PES with lower length than Type IV. There is a correlation between bigger APD and shorter PES. CONCLUSION: The group with I-II signal typing has PES with normo contact; Type III with hyper contact and Type IV has PES with hypo contact. The best tracheoesophageal voices are achieved by PES with moderate contact of the prominence and with shorter and larger anteroposterior PES distances. What differentiates the PES with hyper contact from PES with normal one is only the degree of contact between the prominence of the PES and its anterior wall.

show abstract

Radiological assessment of post laryngectomy speech

Cited by 44 publications

References 10 publications

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Reabilitação fonatória do laringectomizado total: utilização de toxina botulínica na voz tráqueo-esofágica com prótese fonatória

A new proposal for evaluation of the pharyngoesophageal segment and its relation with the narrow-band spectrogram in tracheoesophageal speakers

Contact Info

Product

Resources

About