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The Pharyngoesophageal Segment after Total Laryngectomy

Arenaz Búa, Beatriz LU ; Olsson, Rolf LU ; Westin, Ulla LU and Rydell, Roland LU (2017) In Annals of Otology, Rhinology and Laryngology 126(2). p.138-145
Abstract

Objective: The aim of the present study was to characterize the pharyngoesophageal segment in laryngectomees who rated themselves as functional tracheoesophageal speakers. Methods: Voice perceptual assessment, high-resolution videomanometry of swallowing and phonation, and high-speed camera recording during phonation provided information about the anatomy and function of the pharyngoesophageal segment. Results: Fourteen patients were included in the study. The voice assessments presented high intra/inter-listener reliability. We found a significant correlation between roughness and poor voice quality, hyperfunction and poor intelligibility, and poor voice quality, long time since the operation, and old age. High-resolution... (More)

Objective: The aim of the present study was to characterize the pharyngoesophageal segment in laryngectomees who rated themselves as functional tracheoesophageal speakers. Methods: Voice perceptual assessment, high-resolution videomanometry of swallowing and phonation, and high-speed camera recording during phonation provided information about the anatomy and function of the pharyngoesophageal segment. Results: Fourteen patients were included in the study. The voice assessments presented high intra/inter-listener reliability. We found a significant correlation between roughness and poor voice quality, hyperfunction and poor intelligibility, and poor voice quality, long time since the operation, and old age. High-resolution videomanometry during phonation revealed decreasing mean pressures from the distal esophagus to the pharynx and confirmed low resting pressures at the pharyngoesophageal segment and low esophageal peristaltic contraction pressures after laryngectomy in comparison to normal subjects. The neoglottis shape was mainly circular and presented a strong mucosal wave in most of the patients on the high-speed camera recording. Conclusions: Perceptual voice assessment and high-speed camera recordings provided baseline information about voice characteristics and vibration regularity of the neoglottis. Additionally, the quantitative measures obtained with high-resolution videomanometry may have clinical applicability as reference data in voice rehabilitation after total laryngectomy.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
high-resolution videomanometry (HRVM), high-speed camera (HSC), pharyngoesophageal segment (PES), total laryngectomy (TL), tracheoesophageal voice prosthesis (TEVP)
in
Annals of Otology, Rhinology and Laryngology
volume
126
issue
2
pages
138 - 145
publisher
Annals Publishing Company
external identifiers
  • scopus:85009742453
  • wos:000397728500008
ISSN
0003-4894
DOI
10.1177/0003489416681321
language
English
LU publication?
yes
id
5e675915-4708-4f61-9673-56c01d95cffe
date added to LUP
2017-02-10 14:03:31
date last changed
2018-01-07 11:49:13
@article{5e675915-4708-4f61-9673-56c01d95cffe,
  abstract     = {<p>Objective: The aim of the present study was to characterize the pharyngoesophageal segment in laryngectomees who rated themselves as functional tracheoesophageal speakers. Methods: Voice perceptual assessment, high-resolution videomanometry of swallowing and phonation, and high-speed camera recording during phonation provided information about the anatomy and function of the pharyngoesophageal segment. Results: Fourteen patients were included in the study. The voice assessments presented high intra/inter-listener reliability. We found a significant correlation between roughness and poor voice quality, hyperfunction and poor intelligibility, and poor voice quality, long time since the operation, and old age. High-resolution videomanometry during phonation revealed decreasing mean pressures from the distal esophagus to the pharynx and confirmed low resting pressures at the pharyngoesophageal segment and low esophageal peristaltic contraction pressures after laryngectomy in comparison to normal subjects. The neoglottis shape was mainly circular and presented a strong mucosal wave in most of the patients on the high-speed camera recording. Conclusions: Perceptual voice assessment and high-speed camera recordings provided baseline information about voice characteristics and vibration regularity of the neoglottis. Additionally, the quantitative measures obtained with high-resolution videomanometry may have clinical applicability as reference data in voice rehabilitation after total laryngectomy.</p>},
  author       = {Arenaz Búa, Beatriz and Olsson, Rolf and Westin, Ulla and Rydell, Roland},
  issn         = {0003-4894},
  keyword      = {high-resolution videomanometry (HRVM),high-speed camera (HSC),pharyngoesophageal segment (PES),total laryngectomy (TL),tracheoesophageal voice prosthesis (TEVP)},
  language     = {eng},
  number       = {2},
  pages        = {138--145},
  publisher    = {Annals Publishing Company},
  series       = {Annals of Otology, Rhinology and Laryngology},
  title        = {The Pharyngoesophageal Segment after Total Laryngectomy},
  url          = {http://dx.doi.org/10.1177/0003489416681321},
  volume       = {126},
  year         = {2017},
}