Correlação entre voz e fala traqueoesofágica e pressão intraluminal da transição faringoesofágica

Takeshita, Telma Kioko; Zozolotto, Henrique Ceretta; Ricz, Hilton Marcos Alves; Dantas, Roberto Oliveira; Aguiar-Ricz, Lilian Neto

doi:10.1590/s0104-56872010000400021

Cited by 9 publications

(3 citation statements)

References 24 publications

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“…Speech therapy is included in publications on the treatment of laryngeal cancer, in studies dealing with rehabilitation of functions related to communications (in this case, especially oral communication) [22][23][24][25][26][27] , evaluation of quality of life 9,12,25,[28][29][30] , swallowing rehabilitation 9,28,30 and alterations of smell and taste 31 . During the research it was also verified a considerable percentage of publications from the nursing sector related with the bio-psycho-social aspects directly linked to the rehabilitation and/or postoperative handling/care which the patients must be submitted to [32][33][34][35][36][37][38][39] .…”

Section: Series Of Casesmentioning

confidence: 99%

Tratamento do câncer de laringe: revisão da literatura publicada nos últimos dez anos

Pacheco¹,

Goulart

Almeida

2015

Rev. CEFAC

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Resumo:Este estudo tem como objetivo analisar as características da produção bibliográfica científica sobre o tratamento do câncer de laringe nos últimos dez anos. Foram seguidos os preceitos do Cochrane Handbook, que envolveu a formulação da questão a ser investigada, a localização, a seleção dos estudos e a avaliação crítica dos artigos. Os artigos publicados entre 2002 e 2011 foram selecionados por meio das bases de dados LILACS e ScIELO, utilizando-se o descritor laringect$ e na base de dados PubMed, utilizando-se o descritor laringect*. Analisaram-se os textos completos, potencialmente relevantes para a revisão, utilizando-se um formulário padronizado, quando os seguintes dados foram coletados: objetivos, desenho da pesquisa, resultados encontrados e discussão sobre o tratamento em câncer de laringe. Inicialmente foram identificados 299 estudos. Após a revisão dos títulos e resumos, consideração dos critérios de inclusão e exclusão, verificação da coerência com a temática pesquisada e eliminação dos estudos que estavam concomitantemente em mais de uma base de dados, 72 foram efetivamente analisados por referirem nos descritores e/ou nos resumos o tema câncer de laringe. A partir desta pesquisa, é possível verificar lacunas e oportunidades para o desenvolvimento de estudos que verifiquem técnicas padronizadas de tratamento do câncer de laringe com o aumento de estudos analíticos e de intervenção baseados em ensaios clínicos randomizados, especialmente considerando diretrizes como CONSORT, STROBE e GRADE para o seu planejamento e publicação.

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Section: Series Of Casesmentioning

confidence: 99%

Tratamento do câncer de laringe: revisão da literatura publicada nos últimos dez anos

Pacheco¹,

Goulart

Almeida

2015

Rev. CEFAC

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“…Although esophageal and TE speech differ from each other and clearly differ from that of normal speech production, the aerodynamic capacity and trans-pseudoglottal flows and pressure are greater during TE speech [8][9][10][20][21][22]28,29]. In comparing TE, esophageal, and normal speakers on acoustical characteristics of fundamental frequency, intensity, and duration, Robbins et al [9] found that TE speech was characterized as having the greatest intensity, a higher frequency than esophageal speakers, and finally, temporal features that approximated normal speakers.…”

Section: Introductionmentioning

confidence: 99%

“…That is, TE speakers' access to pulmonary air may help them generate increased airflows and associated air pressures within the vocal tract during TE speech production. However, an additional concern in this context rests with the fact that TE speakers do not have an adductor-abductor voicing mechanism; rather, the response of the postlaryngectomy vibratory source may in many respects be somewhat passive despite increased driving pressures secondary to the access to lung air by these speakers [20][21][22]. Data reported in the literature support this assumption [9].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Stimulus Composition and Scoring Method on Objective Listener Assessments of Tracheoesophageal Speech Accuracy

Doyle,

Goncharenko,

Searl

2023

Applied Sciences

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Introduction: This study investigated the influence of stimulus composition for three speech intelligibility word lists and two scoring methods on the speech accuracy judgments of five tracheoesophageal (TE) speakers. This was achieved through phonemic comparisons across TE speakers’ productions of stimuli from the three intelligibility word lists, including the (1) Consonant Rhyme Test, (2) Northwestern Intelligibility Test, and (3) the Weiss and Basili list. Methodology: Fifteen normal-hearing young adults served as listeners; all listeners were trained in phonetic transcription (IPA), but none had previous exposure to any mode of postlaryngectomy alaryngeal speech. Speaker stimuli were presented to all listeners through headphones, and all stimuli were transcribed phonetically using an open-set response paradigm. Data were analyzed for individual speakers by stimulus list. Phonemic scoring was compared to a whole-word scoring method, and the types of errors observed were quantified by word list. Results: Individual speaker variability was noted, and its effect on the assessment of speech accuracy was identified. The phonemic scoring method was found to be a more sensitive measure of TE speech accuracy. The W&B list yielded the lowest accuracy scores of the three lists. This finding may indicate its increased sensitivity and potential clinical value. Conclusions: Overall, this study supports the use of open-set, phonemic scoring methods when evaluating TE speaker intelligibility. Future research should aim to assess the specificity of assessment tools on a larger sample of TE speakers who vary in their speech proficiency.

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Novel voice prosthesis after total laryngectomy with laryngoplasty reconstruction

2020

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Background: Although many patients achieve serviceable speech after total laryngectomy (TL), others are limited by unnaturally low pitch. We describe a cadaveric study to provide proof of concept for a novel voice prosthesis after TL with free tissue laryngoplasty. Methods: Devices were implanted into fresh frozen cadavers after TL and free tissue laryngoplasty. Phonation pressures were measured using a custom Blom-Singer Manometer (InHealth Technologies, Carpinteria, CA) and acoustic files were analyzed using Praat, a speech analysis software. Results: Two fresh frozen cadavers were implanted with the voice prosthesis. Both prostheses demonstrated appropriate stenting of the laryngoplasty. Successful sound production was achieved after airflow generation at the proximal trachea. An average phonation pressure of 3.5 cmH 2 O (SD 1.7 cmH 2 O) was necessary to generate a sound intensity of 80.6 dB (SD 0.2 dB) at an average fundamental frequency of 299.5 Hz (SD 112.6 Hz). Conclusions: The novel voice prosthesis described herein offers a feasible voice generation mechanism.

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Correlação entre voz e fala traqueoesofágica e pressão intraluminal da transição faringoesofágica

Cited by 9 publications

References 24 publications

Tratamento do câncer de laringe: revisão da literatura publicada nos últimos dez anos

Tratamento do câncer de laringe: revisão da literatura publicada nos últimos dez anos

The Influence of Stimulus Composition and Scoring Method on Objective Listener Assessments of Tracheoesophageal Speech Accuracy

Novel voice prosthesis after total laryngectomy with laryngoplasty reconstruction

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