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Esophageal voice

Jaime P Rodrigues, Rolando Pinho, Joao Carvalho
A 57-year-old man with a past medical history of total laryngectomy for squamous cell carcinoma of the larynx was admitted to our institution 5 months after the procedure, for surgical resection of a local recurrence of the tumor. In the postoperative period, endoscopically guided placement of a nasogastric tube was scheduled, after previous failed attempts. Upper gastrointestinal endoscopy revealed an anastomotic dehiscence, 13 cm distal to the incisors, and a foreign body penetrating through the esophageal wall, 20cm distal to the incisors...
October 2016: Revista Española de Enfermedades Digestivas
Kazuo Adachi, Toshiro Umezaki, Toshimitsu Nishijima, Hidetaka Yamamoto, Yoshinao Oda
Here we describe the long-term outcomes of type I thyroplasty (TP-I) with silicone block implantation through histopathological assessments in a male patient who underwent pharyngolaryngectomy for secondary hypopharyngeal carcinoma 7 years after silicone implantation. A 66-year-old man presented with esophageal carcinoma and underwent subtotal esophagotomy. Subsequently, his left vocal fold exhibited fixation in a paramedian position, and he underwent TP-I with silicone block implantation 2 years after the primary esophageal surgery...
August 16, 2016: Auris, Nasus, Larynx
Karina V Grooteman, Louis M Wong Kee Song, Frank P Vleggaar, Peter D Siersema, Todd H Baron
BACKGROUND AND AIMS: Although the rule of 3 is recommended to minimize the risk of perforation when esophageal dilation is performed using bougie dilators, there are no data to validate its use. Our aim was to investigate the association between the rule of 3 and adverse events (AEs) in esophageal dilation. METHODS: A retrospective chart review in patients who underwent esophageal bougie or balloon dilation between December 1991 and February 2013 at a tertiary hospital was performed...
August 6, 2016: Gastrointestinal Endoscopy
Ibrahim Erdim, Ali Ahmet Sirin, Bahadir Baykal, Fatih Oghan, Ali Guvey, Fatma Tulin Kayhan
INTRODUCTION: Tracheoesophageal peristomal fistulae can often be solved by reducing the size of the fistula or replacing the prosthesis; however, even with conservative techniques, leakage around the fistula may continue in total laryngectomy patients. Also, several techniques have been developed to overcome this problem, including injections around the fistula, fistula closure with local flaps, myofascial flaps, or free flaps and fistula closure using a septal perforation silicon button...
July 21, 2016: Brazilian Journal of Otorhinolaryngology
Katherine A Kendall, Julia Ellerston, Amanda Heller, Daniel R Houtz, Chong Zhang, Angela P Presson
Quantitative, reliable measures of swallowing physiology can be made from an modified barium swallowing study. These quantitative measures have not been previously employed to study large dysphagic patient populations. The present retrospective study of 139 consecutive patients with dysphagia seen in a university tertiary voice and swallowing clinic sought to use objective measures of swallowing physiology to (1) quantify the most prevalent deficits seen in the patient population, (2) identify commonly associated diagnoses and describe the most prevalent swallowing deficits, and (3) determine any correlation between objective deficits and Eating Assessment Tool (EAT-10) scores and body mass index...
August 2016: Dysphagia
Z Saltürk, A Arslanoğlu, E Özdemir, G Yıldırım, İ Aydoğdu, T L Kumral, G Berkiten, Y Atar, Y Uyar
OBJECTIVE: This study investigated the relationship between psychological well-being and different voice rehabilitation methods in total laryngectomy patients. METHODS: The study enrolled 96 patients who underwent total laryngectomy. The patients were divided into three groups according to the voice rehabilitation method used: esophageal speech (24 patients); a tracheoesophageal fistula and Provox 2 voice prosthesis (57 patients); or an electrolarynx (15 patients)...
March 2016: HNO
Azizollah Abbasidezfouli, Damoon Ansari, Kambiz Sheikhy, Mohammad Abarkar, Farahnaz Sadeghbeigi, Sepehr Abbasidezfouli, Davood Sharifi
BACKGROUND: Segmental resection of esophagus with primary anastomosis is prohibited because of the risk of dehiscence. We previously have shown that replacement of a segment of cervical esophagus with a tracheal segment of the same length could successfully be performed in a canine model. In this study, we sought to assess the feasibility of replacement of the esophageal defect with a shorter segment of trachea. METHODS: In five mongrel dogs weighting 20-30 kg, under general anesthesia and after a cervical incision, 8 cm of the cervical esophagus was resected and replaced by a 4-cm segment of the adjacent trachea...
March 2016: Journal of Surgical Research
E Holmes, C Kenny, M Samuel, J Regan, J O'Rourke, C McCoubrey
This study explores the contribution of Speech and Language Therapists (SLTs) to the assessment and management of patients presenting on videofluoroscopic swallow studies (VFSS) with a suspected pharyngo-oesophageal diverticulum. Records for all patients who attended for VFSS in an acute hospital over an eleven-year period were examined (N = 1820). Twenty patients were identified on VFSS as having a suspected diverticulum. Symptoms suggestive of a diverticulum were found during both bedside clinical examination and radiographic examination e...
November 2015: Irish Medical Journal
Hee-Jeong Shim, Hyo Ryung Jang, Hee Baek Shin, Do-Heung Ko
OBJECTIVE: To evaluate esophageal speech quality in patients after total laryngectomy using cepstral, spectral and time-based measures. PATIENTS AND METHODS: The subjects were all males and included 20 total laryngectomy patients and 20 age-matched normal controls. The sustained vowel /a/ was measured using the tools of MDVP (Multi-Dimensional Voice Program) and ADSV (Analysis of Dysphonia in Speech and Voice). RESULTS: Compared to normal controls, esophageal speakers showed significantly lower values for cepstral peak prominence (CPP) and a low- to high-frequency spectral energy (L/H) ratio, but their mean CPP fundamental frequency (CPP F0) was higher...
2015: Folia Phoniatrica et Logopaedica
Othman Lachhab, Joseph Di Martino, Elhassane Ibn Elhaj, Ahmed Hammouch
In this paper, we propose a hybrid system based on a modified statistical GMM voice conversion algorithm for improving the recognition of esophageal speech. This hybrid system aims to compensate for the distorted information present in the esophageal acoustic features by using a voice conversion method. The esophageal speech is converted into a "target" laryngeal speech using an iterative statistical estimation of a transformation function. We did not apply a speech synthesizer for reconstructing the converted speech signal, given that the converted Mel cepstral vectors are used directly as input of our speech recognition system...
2015: SpringerPlus
Teja Munshi, Carolyn J Heckman, Susan Darlow
BACKGROUND: With the growing popularity of waterpipe smoking (WPS), it is important to understand how WPS may impact health. The aim of this study was to systematically review the literature to identify potential health effects of WPS, specifically on the head and neck region. TYPES OF STUDIES REVIEWED: The authors systematically reviewed published articles that focused on WPS and head and neck conditions identified from the following databases: PubMed and MEDLINE, PsycInfo, and Google Scholar...
October 2015: Journal of the American Dental Association
K J Lorenz
BACKGROUND: Loss of voice is the consequence of laryngectomy most disturbing for the patient. As such, the notion of performing a laryngectomy has always been directly linked to the possibility of voice rehabilitation. The multitude of different technical and surgical approaches pays testimony to the problems associated with rehabilitation of speech and swallowing after laryngectomy. METHODS: Scientific online search engines and library facilities were used to search for recent publications and historical medical documents...
October 2015: HNO
Akira Tanuma
Dysphagia sometimes occurs in patients with head and neck cancer, particularly in those undergoing surgery and radiotherapy for lingual, pharyngeal, and laryngeal cancer. It also occurs in patients with esophageal cancer and brain tumor. Patients who undergo glossectomy usually show impairment of the oral phase of swallowing, whereas those with pharyngeal, laryngeal, and esophageal cancer show impairment of the pharyngeal phase of swallowing. Videofluoroscopic examination of swallowing provides important information necessary for rehabilitation of swallowing in these patients...
July 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Scott P Robertson, Harry Quon, Ana P Kiess, Joseph A Moore, Wuyang Yang, Zhi Cheng, Sarah Afonso, Mysha Allen, Marian Richardson, Amanda Choflet, Andrew Sharabi, Todd R McNutt
PURPOSE: To develop a hypothesis-generating framework for automatic extraction of dose-outcome relationships from an in-house, analytic oncology database. METHODS: Dose-volume histograms (DVH) and clinical outcomes have been routinely stored to the authors' database for 684 head and neck cancer patients treated from 2007 to 2014. Database queries were developed to extract outcomes that had been assessed for at least 100 patients, as well as DVH curves for organs-at-risk (OAR) that were contoured for at least 100 patients...
July 2015: Medical Physics
Christopher G Tang, Catherine F Sinclair
The ability to speak and communicate vocally is a unique human characteristic that is often taken for granted but is fundamental to many activities of daily living. Loss of voice after total laryngectomy can lead to a serious decrease in quality of life and can precipitate significant frustration over the inability to communicate effectively. There are 3 main methods of voice restoration: esophageal speech, usage of the electrolarynx, and tracheal-esophageal puncture for tracheal-esophageal speech, which can be performed primarily or secondarily...
August 2015: Otolaryngologic Clinics of North America
Rudolf Reiter, Thomas Karl Hoffmann, Anja Pickhard, Sibylle Brosch
BACKGROUND: Hoarseness (dysphonia) is the reason for about 1% of all consultations in primary care. It has many causes, ranging from self-limited laryngitis to malignant tumors of the vocal cords. METHODS: This review is based on literature retrieved by a selective search in PubMed employing the terms "hoarseness," "hoarse voice," and "dysphonia," on the relevant guideline of the American Academy of Otolaryngology -Head and Neck Surgery, and on Cochrane reviews...
May 8, 2015: Deutsches Ärzteblatt International
Daniel Noel, Daniel S Fink, Melda Kunduk, Mell A Schexnaildre, Michael DiLeo, Andrew J McWhorter
BACKGROUND: There is debate about the optimal voice restoration method and technique for patients who have undergone total laryngopharyngectomy, esophagectomy, and gastric pull-up. The purpose of this study was to report a series of patients who underwent awake, secondary tracheoesophageal puncture (TEP) after this procedure. METHODS: A retrospective chart review was performed at a tertiary referral center. All subjects who underwent TEP placement under transnasal esophagoscopy guidance between 2003 and 2013 were included...
March 2016: Head & Neck
Sanja Kresić, Mila Veselinović, Gordana Mumović, Slobodan M Mitrović
INTRODUCTION: Well-established esophageal voice and speech is the most human-like form of communication of laryngectomized patients. MATERIAL AND METHODS: The study sample consisted of 28 patients of the Department of Ear. Nose and Throat, Clinical Center of Vojvodina in Novi Sad. All patients underwent total laryngectomy because of laryngeal cancer previously confirmed. The patients were divided into two groups based on the success of mastering esophageal voice and speech, group I being successful and group 2 being unsuccessful...
January 2015: Medicinski Pregled
Sarah Werling, Bertold Schrank, Alexander J Eckardt, Anja Hauburger, Marcus Deschauer, Michaela Müller
Oculopharyngeal muscular dystrophy (OPMD) is a rare cause for late-onset dysphagia. OPMD normally follows an autosomal dominant inheritance. Herein we describe a rare case of an autosomal recessive inheritance of OPMD. An 80-year-old male presented with progressive dysphagia, frequent aspiration and change of voice getting inarticulate and hoarse. Physical examination showed ptosis of the right eyelid. Endoscopic and manometric investigation revealed a nonspecific motility disorder with hypopharyngeal esophageal hypotension...
April 2015: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
Aura T Palacios-Pérez, Carlos H Sierra-Torres
OBJECTIVE: Determining the prevalence of alterations in informal workers’ audition, respiratory and vocal functions and their association with certain risk factors in Popayan, Colombia. METHODS: This was a descriptive, cross-sectional study of 186 informal workers (i.e. people selling things in the street). After signing an informed consent form, an interview was held to obtain data regarding sociodemographic and communicative variables. The workers were then evaluated using tests for tone audiometry, respiratory function and Wilson's voice profile...
July 2014: Revista de Salud Pública
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