Purpose: Defining the prosodic features of alaryngeal speech and determining their differences depending on the type of alternative speech. Methods:The study included 60 laryngectomized subjects of both sexes with a mean age of 63 years. The subjects were divided into three groups depending on the type of alternative alaryngeal speech. Prosodic features were assessed using a four-component scale for the assessment of prosody of alaryngeal speech by three examiners. Statistical data processing was done using the SPSS statistical package.Results: Significant differences were found between tracheoesophageal, esophageal, and electro laryngeal speech with respect to melody and accent performance, and variable rhythm, while the existing differences in the realization of pauses in speech were not significant. Most tracheoesophageal subjects have the appropriate melody, as well as the accent achieved during the speech, the logical pauses present, and in most cases the appropriate speech rhythm. Conclusion:By evaluating prosody, vocal rehabilitation by the installation of a tracheoesophageal prosthesis has proven to be the most optimal rehabilitation method.

Prilikom izbora teme ovog rada autorice su se rukovodile uvjerenjem da se radi o izvanredno aktualnoj i značajnoj temi. Ubrzan i značajan razvoj tehnologije i audio-video tehnike u današnje vrijeme omogućio je zvučno i slikovno snimanje u neusporedivo većem opsegu u odnosu na prošla vremena. Vještačenje u kaznenom postupku jedna je od dokaznih radnji čijim se provođenjem nastoje utvrditi relevantne činjenice za ocjenu postojanja elemenata kaznenog djela ili za ocjenu elemenata o počinitelju i okolnostima počinjenja kaznenog djela. Vještačenja zvučnih i glasovnih zapisa, te vještačenja (poremećaja) glasa, govora i jezika pripadaju specifičnom interdisciplinarnom području nazvanom „forenzička akustika i fonetika“ koje objedinjuje biomedicinske, tehničke i društvene znanosti i koja se povjeravaju iskusnim stručnjacima određenog formalnog obrazovanja zbog prostorno-tehničkih uvjeta, kompleksnosti samog vještačenja i potrebe poštovanja znanstvenih i stručnih akreditiranih metoda kojima se utvrđuju činjenice relevantne za pojedini sudski predmet. Autorice daju pregled ključnih pitanja vezanih uz tehničke snimke činjenica uređene pozitivnim zakonodavstvom uz ukazivanje na mogućnosti primjene vještačenja iz područja forenzičke akustike i fonetike, koje bi značajno pridonijelo učinkovitosti kaznenog postupka. Temeljni je prigovor dosadašnjoj praksi vrlo rijetka primjena vještačenja iz područja forenzičke akustike i fonetike, koja se pretežno odnosi na telekomunikacijska vještačenja, a znatno rjeđe na informatička ili akustička vještačenja, kao i na činjenicu da postoji izuzetno mali broj educiranih vještaka iz ovog područja. Također daju i neke prijedloge de lege ferenda, koji se odnose na širu primjenu u praksi vještačenja forenzičke akustike i fonetike, kao i na stanovite intervencije u zakonski tekst.

The total laryngectomy is a standard procedure of laryngeal carcinoma treatment which leaves multiple persistent consequences on a laryngectomized person. After laryngectomy, all of patients cannot speak loudly, and 10-58% patients have a dysphagia. In such changed anatomical condition, the esophagus has a key function in two of three primary approaches to voice-speech rehabilitation of laryngectomized patients: esophageal and tracheoesophageal speech therapy method because one of these is the only acceptable solution of substitute alaryngeal speech. In esophageal speech, the esophagus has the role of speech air reservoirs since the respiratory and digestive pathways are permanently separated after the procedure. In the production of tracheoesophageal speech, the tracheoesophageal fistula and the esophagus allow the recommunication of these pathways and the use of air from the lungs for speech. There are several prerequisites for successful esophageal and tracheoesophageal speech. After tracheoesophageal puncture and insertion, the tracheoesophageal prosthesis may occur different complications in the early or late postoperative period in 10-60% of patients. The quality of alaryngeal voice is very different from the quality of laryngeal voice, but allows communication to laryngectomees.

Objective: Surgical procedures on the larynx lead to some swallowing disorders of that may occur at any time during the postoperative period and can be present in all phases of swallowing. The aim of the study was to explore the prevalence of dysphagia after laryngectomy, the correlation and difference in dysphagia symptoms depending on the extent of the surgery. Methods: The study included 40 laryngectomized subjects of both sexes, median age 63.50 years. Data were collected by a survey of respondents and questionnaire structured from three sets of closed-ended questions. The data were statistically processed in the statistical program SPSS (version 16.0, SPSS Inc., Chicago, IL, USA). Results: The incidence of dysphagia is more often after partial laryngectomy with statistically significant differences in certain symptoms. A positive and statistically significant correlation was found between swallowing disorders and the consequences of oncological treatments. A negative and statistically significant correlation was found between swallowing disorders and the type of complications. Conclusion: The results show that patients who had surgery have varying degrees of swallowing disorders. The ability to identify symptoms of dysphagia becomes increasingly important when developing appropriate interventions for this subgroup of laryngeal cancer patients.