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Esophageal voice

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https://www.readbyqxmd.com/read/28227129/modeling-of-pharyngoesophageal-segment-during-tracheoesophageal-phonation-in-total-laryngectomy-patients-with-preliminary-validation
#1
Teng Zhang, Siwei Bai, Ian Cook, Michal Szczesniak, Julia Maclean, Socrates Dokos, Teng Zhang, Siwei Bai, Ian Cook, Michal Szczesniak, Julia Maclean, Socrates Dokos, Siwei Bai, Michal Szczesniak, Socrates Dokos, Ian Cook, Julia Maclean, Teng Zhang
For patients with large or recurrent laryngeal cancer, total laryngectomy surgery is usually performed. In the absence of a larynx, tracheoesophageal (TE) voice is the gold standard for alaryngeal phonation. The mechanisms underlying TE voice are unknown, but pharyngoesophageal (PE) segment vibration has been shown to play a key role. The aim of this study was to systematically explore the mechanics of PE segment vibration during TE phonation. A 2D axisymmetric finite-element model with two domains representing the air and PE wall was developed...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28154766/case-of-superficial-cancer-located-at-the-pharyngoesophageal-junction-which-was-dissected-by-endoscopic-laryngopharyngeal-surgery-combined-with-endoscopic-submucosal-dissection
#2
Kenro Kawada, Tatsuyuki Kawano, Taro Sugimoto, Kazuya Yamaguchi, Yuudai Kawamura, Toshihiro Matsui, Masafumi Okuda, Taichi Ogo, Yuuichiro Kume, Yutaka Nakajima, Andres Mora, Takuya Okada, Akihiro Hoshino, Yutaka Tokairin, Yasuaki Nakajima, Ryuhei Okada, Yusuke Kiyokawa, Fuminori Nomura, Takahiro Asakage, Ryo Shimoda, Takashi Ito
Aims. In order to determine the indications of transoral surgery for a tumor located at the pharyngoesophageal junction, the trumpet maneuver with transnasal endoscopy was used. Its efficacy is reported here. Material and Methods. An 88-year-old woman complaining of dysphagia, diagnosed with cervical esophageal cancer, and hoping to preserve her voice and swallowing function was admitted to our hospital. Conventional endoscopy showed that the tumor had invaded the hypopharynx. When inspecting the hypopharynx and the orifice of the esophagus, we asked the patient to blow hard and puff her cheeks with her mouth closed (trumpet maneuver)...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/28098054/long-term-esophageal-motility-changes-after-thyroidectomy-associations-with-aerodigestive-disorders
#3
G Scerrino, A Inviati, S Di Giovanni, N C Paladino, S Di Giovanni, N C Paladino, V Di Paola, C Raspanti, G I Melfa, F Cupido, S Mazzola, C Porrello, S Bonventre, G Gullotta
BACKGROUND: Patients undergoing thyroidectomy often complain aerodigestive disorders. In a previous study we showed the associations between voice impairment and proximal acid reflux, swallowing impairment and Upper Esophageal Sphyncter (UES) incoordination and the decrease in UES pressure in thirty-six patients observed before and soon afterwards uncomplicated thyroidectomy. This study investigated the state of post-thyroidectomy esophageal motility changes and its associations with these disorders after 18-24 months...
September 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/28008387/role-of-ph-monitoring-in-laryngopharyngeal-reflux-patients-with-voice-disorders
#4
Swati Maldhure, Ramanathan Chandrasekharan, Amit-Kumar Dutta, Ashok Chacko, Mary Kurien
INTRODUCTION: Laryngopharyngeal reflux (LPR) is considered an important cause of voice disorder. We aimed to determine the frequency of LPR in patients with voice disorder and the association between Koufman Reflux Symptom Index (RSI), Reflux Finding Score (RFS), gastroesophageal reflux disease (GERD), and proximal acid reflux in these patients. MATERIALS AND METHODS: We performed a prospective study in patients aged more than 18 years presenting at the ear, nose, and throat (ENT) clinic with a change in voice lasting more than 3 weeks...
November 2016: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27932525/the-pharyngoesophageal-segment-after-total-laryngectomy
#5
Beatriz Arenaz Búa, Rolf Olsson, Ulla Westin, Roland Rydell
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...
February 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/27701887/a-typical-but-seldom-recognized-foreign-body-in-the-esophagus-of-a-laryngectomized-patient
#6
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
https://www.readbyqxmd.com/read/27543073/long-term-outcomes-of-type-i-thyroplasty-with-silicone-implantation-assessment-of-excised-laryngeal-tissue-from-a-patient-with-secondary-hypopharyngeal-carcinoma
#7
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...
April 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27506393/non-adherence-to-the-rule-of-3-does-not-increase-the-risk-of%C3%A2-adverse-events-in-esophageal-dilation
#8
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...
February 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27472983/treatment-of-large-persistent-tracheoesophageal-peristomal-fistulas-using-silicon-rings
#9
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
https://www.readbyqxmd.com/read/27106909/objective-measures-of-swallowing-function-applied-to-the-dysphagia-population-a-one-year-experience
#10
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
https://www.readbyqxmd.com/read/26923487/how-do-voice-restoration-methods-affect-the-psychological-status-of-patients-after-total-laryngectomy
#11
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
https://www.readbyqxmd.com/read/26850189/experimental-replacement-of-esophagus-with-a-short-segment-of-trachea
#12
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
https://www.readbyqxmd.com/read/26817284/the-role-of-speech-and-language-therapy-in-assessing-and-managing-pharyngo-esophageal-diverticula
#13
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
https://www.readbyqxmd.com/read/26575366/cepstral-spectral-and-time-based-analysis-of-voices-of-esophageal-speakers
#14
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
https://www.readbyqxmd.com/read/26543778/a-preliminary-study-on-improving-the-recognition-of-esophageal-speech-using-a-hybrid-system-based-on-statistical-voice-conversion
#15
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
https://www.readbyqxmd.com/read/26409986/association-between-tobacco-waterpipe-smoking-and-head-and-neck-conditions-a-systematic-review
#16
REVIEW
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
https://www.readbyqxmd.com/read/26403993/-voice-rehabilitation-after-total-laryngectomy-a-chronological-review-of-medical-history
#17
REVIEW
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
https://www.readbyqxmd.com/read/26197738/-swallowing-and-voice-disorders-in-cancer-patients
#18
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
https://www.readbyqxmd.com/read/26133630/a-data-mining-framework-for-large-scale-analysis-of-dose-outcome-relationships-in-a-database-of-irradiated-head-and-neck-cancer-patients
#19
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
https://www.readbyqxmd.com/read/26093944/voice-restoration-after-total-laryngectomy
#20
REVIEW
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
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