Relation between the dimensions and intraluminal pressure of the pharyngoesophageal segment and tracheoesophageal voice and speech proficiency. Issue 4 (20th January 2012)

• Record Type: Journal Article
• Authors: Takeshita, Telma Kioko; Zozolotto, Henrique Ceretta; Ribeiro, Eduardo Alvarez; Ricz, Hilton; de Azevedo‐Marques, Paulo Mazzoncini; Dantas, Roberto Oliveira; Aguiar‐Ricz, Lílian
• Is Part Of: Head & neck. Volume 35:Issue 4(2013:Apr.)
• Page Start: 500
• Page End: 504
• Publication Date: 2012-01-20
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.22921
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="abs1-1" sec-type="section"> <title>Background</title> <p>The objective of the present study was to relate the dimensions and the intraluminal pressure of the pharyngoesophageal segment (PES) to the voice and speech proficiency of total laryngectomees with a tracheoesophageal prosthesis (TEP).</p> </sec> <sec id="abs1-2" sec-type="section"> <title>Methods</title> <p>Twenty total laryngectomees with secondary TEP insertion underwent evaluation of voice and speech, manometry, and videofluoroscopy.</p> </sec> <sec id="abs1-3" sec-type="section"> <title>Results</title> <p>Most laryngectomees (65%) were moderate speakers. The poorer speakers presented a lower intraluminal pressure in the PES at rest (4.44 mmHg) and a higher value (40.46 mmHg) during phonation. Good speakers presented a significant difference in the anteroposterior distance between prominence of the PES and the posterior pharyngeal wall (PPES‐PPW) in the rest (6.09 mm) to phonation (3.24 mm).</p> </sec> <sec id="abs1-4" sec-type="section"> <title>Conclusions</title> <p>The poorer speakers presented a lower intraluminal pressure in the PES at rest and a higher value during phonation compared with moderate speakers. Good speakers showed a significant difference in the PPES‐PPW dimension. © 2012 Wiley Periodicals, Inc. Head Neck, 2013</p> </sec> </abstract>