Acoustic Characterization of the Voice With a Tracheoesophageal Speech in Laryngectomized Patients. Similarities and Differences With the Laryngeal Voice

Klein-Rodríguez, Alejandro; Cabo-Varela, Irma; Iglesia, F. Vázquez de la

doi:10.1016/j.jvoice.2020.11.017

Cited by 5 publications

(10 citation statements)

References 13 publications

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“…Voice rehabilitation with TEP is currently considered the most effective approach for patients who have undergone total laryngectomy. Numerous studies demonstrate that the objectively measured voice quality in patients rehabilitated with TEP is superior to the esophageal voice quality [7,10,11]. However, few studies focus on the long-term maintenance of TEP and the management of long-term complications.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Complications of Tracheoesophageal Voice Prosthesis

Bianco,

Saita,

Occhiuzzi

et al. 2024

JCM

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Background: The aim of our multicenter retrospective study was to evaluate the long-term complications associated with primary and secondary tracheoesophageal puncture (TEP) in patients who underwent total laryngectomy (TL) for laryngeal cancer and were subsequently rehabilitated to phonatory function with tracheoesophageal speech (TES). Materials and Methods: To evaluate the long-term outcomes and complications of TEP, the following data were collected: mean time of prosthesis replacement, mean time of onset of complications, type of complications, and type of failure. Results: Complications occurred in 18 out of 46 patients (39.2%) with primary TEP and in 10 out of 30 patients (33.4%) with secondary TEP, out of a total of 76 enrolled patients. Common complications included prosthesis leakage, fistula leakage, granulation, and prosthesis extrusion. Prosthesis replacement due to fistula leakage or prosthesis extrusion was observed exclusively in the group of patients with primary TEP. Among the 28 patients (35.7%) who experienced complications, rehabilitation with TEP failed in 10 cases, primarily due to abandonment and spontaneous fistula closure. Conclusions: TEP, both primary and secondary, represents a valid option for vocal rehabilitation in patients undergoing TL. However, identifying prognostic factors that could influence the success of TEP would be beneficial to allow a targeted rehabilitation process.

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Section: Discussionmentioning

confidence: 99%

Long-Term Complications of Tracheoesophageal Voice Prosthesis

Bianco,

Saita,

Occhiuzzi

et al. 2024

JCM

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“…Consequently, although laryngeal cancer has a good cure rate, it is equally true that it disturbs patients’ psychological balance throughout their lives, influencing their habits and constantly reminding them of the cancer experience, due to the permanent presence of the tracheostoma [ 20 , 32 , 36 ]. Considering this, it is wise to take note of the change in the quality of life of laryngectomy patients, but, at the same time, also of the current therapeutic and rehabilitative supports, which allow the patients to compensate for this handicap [ 6 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Considering this, it is wise to take note of the change in the quality of life of laryngectomy patients, but, at the same time, also of the current therapeutic and rehabilitative supports, which allow the patients to compensate for this handicap [ 6 , 37 ]. In fact, restoring the patients to a quality of life as similar as possible to the pre-operative one represents an essential objective in the rehabilitation field; unfortunately, it does not seem adequately considered, with the relationship with the laryngectomy very often focusing only on the oncological and vicarious vocal aspects [ 36 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Respiratory Performance in the Laryngectomized Patient: Role of the HME Filters during Physical Activity

Mesolella,

Allosso,

Mormile

et al. 2024

JCM

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Background: Permanent tracheostomy because of total laryngectomy surgery entails significant consequences for patients regarding respiratory physiopathology, such as the loss of the filtering, humidifying, and heating of air by the nose. The use of special stomal filters can provide adequate protection of the tracheal–bronchopulmonary system with a reduction in respiratory pathologies. In fact, in most cases, laryngectomy patients are first cigarette smokers who for this reason also already have respiratory diseases such as chronic obstructive pulmonary disease (COPD). Despite the availability of tracheal filters, as reported in the literature, patients often tend to limit their use due to reported breathing difficulties, especially in conditions of intense breathing. Methods: The objective of this clinical study was to evaluate the most suitable stomal filter for laryngectomy patients during physical activity. The filters studied were an INHEALTH device (Blom-Singer SpeakFree HME); two ATOS devices (Provox® Life™ Energy HME and Provox® Life™ Home HME); and an FAHL device (Laryvox HME Sport). Results: For this purpose, the performances of 31 laryngectomy patients, subjected to medium–high physical effort, were analyzed through a standardized pneumological test, the Six Minute Walking Test (6MWT), which involves a sustained walk lasting six minutes, with an evaluation of heart rate, oxygen saturation, and meters traveled every 60 s; furthermore, we examined two subjective indices, namely, the basal and final dyspnea index and the initial and final muscular fatigue index. Conclusions: The multidisciplinary approach of the laryngectomee patient must also take pulmonary rehabilitation into consideration. It is the task of the medical team and speech therapy support to help the patient in the correct choice of HME filters taking into account daily needs.

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“…[34,35] Consequently, although laryngeal cancer has a good cure rate, it is equally true that it disturbs the patient's psychological balance throughout his life, influencing his habits and constantly reminding him of the cancer experience, due to the permanent presence of the tracheostoma. [20,32,36] Considering this, it is correct to take note of the change in the quality of life of the laryngectomee patient, but, at the same time, also of the current therapeutic and rehabilitative supports, which allow to compensate for this handicap. [6,37] In fact, restoring to the patient a quality of life as similar as possible to the pre-operative one represents an essential objective in the rehabilitation field, unfortunately, it does not seem adequately considered, very often the relationship with the laryngectomee focusing only on the oncological and vicarious vocal aspect.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Respiratory Performance in the Laryngectomized Patient. Role of the Hme Filters during Physical Activity

Mesolella,

Allosso,

Quaremba

et al. 2024

Preprint

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Background: Permanent tracheostomy because of total laryngectomy surgery entails great conse-quences for the patient regarding respiratory physiopathology such as the filtering, humidifying, and heating function of the air by the nose is lost. The use of special stomal filters can determine adequate protection of the trachea-broncho-pulmonary system with a reduction in respiratory pathologies. In fact, in most cases laryngectomee patients are first cigarette smokers who for this reason already have also respiratory diseases such as chronic obstructive pulmonary disease (COPD). Despite the availability of tracheal filters, multiple times, as reported in the literature, the patient tends to limit their use due to reported breathing difficulties, especially in conditions of intense breathing. Methods: The objective of this clinical study was to evaluate the most suitable stomal filter for the laryngectomee patient during physical activity. The filters studied were an INHEALTH device (Blom-Singer SpeakFree HME); two ATOS devices (Provox® Life™ Energy HME and Provox® Life™ Home HME); and an FAHL device (Laryvox HME Sport). Results: For this purpose, the performances of 31 laryngectomee patients, subjected to medi-um-high physical effort, were analyzed through a standardized pneumological test, the Six Minute Walking Test (6MWT) which involves a sustained walk lasting six minutes, with evaluation , every 60 seconds, heart rate, oxygen saturation and meters travelled; furthermore, it examines two sub-jective indices, namely, the basal and final dyspnea index and the initial and final muscular fatigue index.

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Acoustic Characterization of the Voice With a Tracheoesophageal Speech in Laryngectomized Patients. Similarities and Differences With the Laryngeal Voice

Cited by 5 publications

References 13 publications

Long-Term Complications of Tracheoesophageal Voice Prosthesis

Long-Term Complications of Tracheoesophageal Voice Prosthesis

Quality of Life and Respiratory Performance in the Laryngectomized Patient: Role of the HME Filters during Physical Activity

Quality of Life and Respiratory Performance in the Laryngectomized Patient. Role of the Hme Filters during Physical Activity

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