Comparison of Voice Handicap Index in Patients with Esophageal and Tracheoesophageal Speech after Total Laryngectomy

2019 ◽  
Vol 72 (5) ◽  
pp. 363-369 ◽  
Author(s):  
Danijela Dragičević ◽  
Rajko M. Jović ◽  
Vladimir Kljajić ◽  
Ljiljana Vlaški ◽  
Slobodan Savović
Keyword(s):  
Total Laryngectomy ◽  
Voice Handicap Index ◽  
Tracheoesophageal Speech

Long-Term Follow-up of Tracheoesophageal Puncture Results

1996 ◽  
Vol 105 (7) ◽  
pp. 501-503 ◽  
Author(s):  
James A. Geraghty ◽  
Bonnie E. Smith ◽  
Barry L. Wenig ◽  
Louis G. Portugal
Keyword(s):  
Low Socioeconomic Status ◽  
Total Laryngectomy ◽  
Success Rates ◽  
Vocal Rehabilitation ◽  
Speech Rehabilitation ◽  
Long Term Follow Up ◽  
Tracheoesophageal Speech ◽  
Tracheoesophageal Puncture

Since its introduction by Blom and Singer in 1980, tracheoesophageal puncture with a voice prosthesis has become the most frequently recommended choice for speech rehabilitation of total laryngectomees. Many studies have reviewed the initial speech acquisition success rates following tracheoesophageal puncture; however, long-term follow-up in these initial successes has been lacking. In addition, factors predictive of long-term success with tracheoesophageal speech have not been defined. Over a 10-yearperiod, we retrospectively reviewed all total laryngectomy patients, including those who have undergone primary or secondary tracheoesophageal puncture, at the University of Illinois Hospital and Clinics and the Westside Veterans Administration Hospitals. Survival in the total laryngectomy cohort of 202 patients ranged from 35% to 50%. Forty of these patients underwent tracheoesophageal puncture, in whom survival was 75%. Short-term success with tracheoesophageal speech was approximately 70% for our patients, while long-term success was achieved in 66%. Despite low socioeconomic status and relatively high alcoholism rates, successful maintenance of tracheoesophageal speech was achieved in the majority of cases. Tracheoesophageal speech should therefore be considered as a primary method of vocal rehabilitation in all patients undergoing total laryngectomy.

Botulinum Toxin Injection to Improve Tracheoesophageal Speech after Total Laryngectomy

1999 ◽  
Vol 120 (3) ◽  
pp. 314-319 ◽  
Author(s):  
Michele M. Zormeier ◽  
Robert J. Meleca ◽  
Mark L. Simpson ◽  
James P. Dworkin ◽  
Roger Klein ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Total Laryngectomy ◽  
Botulinum Toxin Injection ◽  
Tracheoesophageal Speech

scholarly journals Insertion of a tracheoesophageal speech valve: a novel approach in a difficult situation

2016 ◽  
Vol 131 (1) ◽  
pp. 88-89
Author(s):  
C P Yiannakis ◽  
R B Townsley ◽  
I G Smillie ◽  
G L Picozzi
Keyword(s):  
Gold Standard ◽  
Total Laryngectomy ◽  
Cost Effective ◽  
Voice Rehabilitation ◽  
Patient Factors ◽  
Shunt Valve ◽  
Difficult Situation ◽  
Novel Approach ◽  
Tracheoesophageal Speech ◽  
Functional Voice Rehabilitation

AbstractBackground:Functional voice rehabilitation is becoming increasingly important following total laryngectomy and pharyngolaryngectomy. Tracheoesophageal voice via a shunt valve is currently regarded as the ‘gold standard’ for voice rehabilitation. Traditional techniques usually allow for the replacement of valves in the out-patient setting; however, patient factors such as altered anatomy may occasionally prevent this.Objective:This paper describes a novel approach for speech valve insertion that is safe, quick and cost-effective, and which uses equipment commonly available in ENT wards and the operating theatre.

Tracheoesophageal Speech Rehabilitation Following Total Laryngectomy

2005 ◽  
Vol 133 (2) ◽  
pp. P161-P161
Author(s):  
M DICKSON ◽  
J DWORKIN ◽  
G YOO ◽  
R STACHLER
Keyword(s):  
Total Laryngectomy ◽  
Speech Rehabilitation ◽  
Tracheoesophageal Speech

Cineradiography of the Pharyngoesophageal Segment in Postlaryngectomy Patients

2000 ◽  
Vol 109 (3) ◽  
pp. 311-319 ◽  
Author(s):  
Ranny Van Weissenbruch ◽  
Marc Kunnen ◽  
Paul B. Van Cauwenberge ◽  
Frans W. J. Albers ◽  
Arend M. Sulter
Keyword(s):  
Clinical Management ◽  
Surgical Procedure ◽  
Total Laryngectomy ◽  
Randomized Study ◽  
Physiological Factors ◽  
Vocal Rehabilitation ◽  
Alaryngeal Speech ◽  
Wide Acceptance ◽  
Pharyngeal Plexus ◽  
Tracheoesophageal Speech

The use of tracheoesophageal voice prostheses has gained wide acceptance in the field of vocal rehabilitation after total laryngectomy. In a randomized study with 3 arms, alaryngeal speech proficiency was assessed in 60 postlaryngectomy patients: 20 patients underwent primary unilateral pharyngeal myotomy, 21 patients underwent neurectomy of the pharyngeal plexus in addition to pharyngeal myotomy, and 19 patients did not undergo an additional surgical procedure. Pharyngoesophageal (PE) dynamics were examined during esophageal and tracheoesophageal speech. A single vibrating PE segment was seen in good alaryngeal speakers. Hypertonicity, spasm, strictures, and hypotonicity of the PE segment were correlated significantly with poor or moderate alaryngeal speech. Unilateral myotomy with or without unilateral neurectomy prevented hypertonicity or spasm of the PE segment. The acquisition of alaryngeal speech did not differ significantly between the 2 groups who had undergone an additional surgical procedure. Evaluation of anatomic and physiological factors may be helpful in subsequent clinical management to achieve effective alaryngeal speech.

scholarly journals Voice-Related Quality of Life in Post-Laryngectomy Rehabilitation: Tracheoesophageal Fistula’s Wellness

2020 ◽  
Vol 17 (12) ◽  
pp. 4605
Author(s):  
Salvatore Cocuzza ◽  
Antonino Maniaci ◽  
Calogero Grillo ◽  
Salvatore Ferlito ◽  
Giacomo Spinato ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Laryngectomy ◽  
Outpatient Surgery ◽  
Voice Handicap Index ◽  
University Hospital ◽  
Voice Rehabilitation ◽  
Life Questionnaire ◽  
Related Quality ◽  
The Voice

(1) Introduction: Laryngeal cancer is one of the most common types of cancer affecting the upper aerodigestive tract. Despite ensuring good oncological outcome in many locoregionally advanced cases, total laryngectomy is associated with relevant physical and psychological sequelae. Treatment through tracheo-esophageal speech, if promising, can lead to very variable outcomes. Not all laryngectomee patients with vocal prosthesis benefit from the same level of rehabilitation mainly due to the development of prosthetic or fistula related problems. The relating sequelae in some cases are even more decisive in the patient quality of life, having a higher impact than communicational or verbal skills. (2) Material and Methods: A retrospective study was conducted on 63 patients initially enrolled with a history of total laryngectomy and voice rehabilitation, treated at the University Hospital of Catania from 1 January 2010 to 31 December 2018. Quality of life (QoL) evaluation through validated self-administrated questionnaires was performed. (3) Results: The Voice-Related Quality of Life questionnaire revealed significantly better outcomes in both socio-emotional and functional domains of the tracheoesophageal patient group compared to the esophageal group (p = 0.01; p = 0.01, respectively), whereas in the Voice Handicap Index assessment, statistically significant scores were not achieved (p = 0.33). (4) Discussion: The significant differences reported through the V-RQOL and Voice Handicap Index scales in the presence of fistula related problems and device lifetime reduction when compared to the oesophageal speech group have demonstrated, as supported by the literature, a crucial role in the rehabilitative prognosis. (5) Conclusions: The criteria of low resistance to airflow, optimal tracheoesophageal retention, prolonged device life, simple patient maintenance, and comfortable outpatient surgery are the reference standard for obtaining good QoL results, especially over time. Furthermore, the correct phenotyping of the patient based on the main outcomes achieved at clinical follow-up guarantees the primary objective of the identification of a better quality of life.

Tracheostomal Stenosis Following Total Laryngectomy

1983 ◽  
Vol 16 (2) ◽  
pp. 391-405 ◽  
Author(s):  
Anthony J. Yonkers ◽  
Gregory A. Mercurio
Keyword(s):  
Total Laryngectomy
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