Immediate Tracheoesophageal puncture for voice restoration in laryngopharyngeal resection

Lau, W. F.; Wei, William Ignace; Ho, Chiu M.; Lam, K. H.

doi:10.1016/s0002-9610(88)80289-7

Cited by 26 publications

(32 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The true need for myotomy in TEP is a controversial issue in the literature, varying from 9% to 79% in TL patients. [1][2][3][4][5][6][7][8][9][10][11][12][13] In secondary TEP, myotomy is associated with a 10% to 20% incidence of salivary fistulae, 26 with the same consequences mentioned above. Using the BT for the treatment of PES spasm makes it possible to restrict myotomy for those patients that truly require this method for treating the PES; this avoids unnecessary procedures in the remaining patients, and reduces their surgery time and complication rate.…”

Section: Discussionmentioning

confidence: 93%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13] Altered PES motor activity in these cases is a reflex initiated by air entering the esophagus, blocking air from progressing to the pharynx. Consequently, the pharyngeal mucosa does not vibrate, and there is no phonation.…”

Section: Discussionmentioning

confidence: 99%

“…10,26 This step may be related to a higher incidence of postoperative salivary fistulae. 12,26 In such cases, hospital stay and medical expenses are increased, and phonatory rehabilitation, oral feeding and even the beginning of postoperative radiotherapy are delayed. The true need for myotomy in TEP is a controversial issue in the literature, varying from 9% to 79% in TL patients.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13] There are three approaches for the treatment of PES alterations: myotomy of the middle and lower constrictors of the pharynx, neurectomy of the pharyngeal plexus, and the recently described chemical denervation of the PES with the botulinum toxin (BT). 6,7,8,10,11,[14][15][16][17][18][19][20][21][22][23] The BT is a presynaptic blocker of acetylcholine release at the neuromuscular junction.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Reabilitação fonatória do laringectomizado total: utilização de toxina botulínica na voz tráqueo-esofágica com prótese fonatória

Chone

Teixeira

Andreollo

et al. 2008

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

In tracheo esophageal puncture (TEP), we carry out a myotomy of the pharynx constrictor muscle; however, about 9 to 79% of patients need such procedure. The consequence of such procedure is an increase in salivary fistula rates in the postoperative. Botulin toxin is used in an outpatient basis. Aim: analyzing the efficacy of botulin toxin (BT) use in the rehabilitation of totally laryngectomized patients with tracheoesophageal voice (TEV) with spasms (S) of the pharyngoesophageal segment (PES) without myotomy. Materials and Methods: We analyzed eight patients submitted to total laryngectomy (TL), rehabilitated with TEV, with speech prosthesis (SP) and struggle to utter voice because of PES spasms. They were all submitted to treatment of such motor alteration with the injection of 100 units of BT in the PES. The evaluation was based on perceptive voice analysis, video fluoroscopy (VF) of the PES, acoustic voice analysis and computerized manometry (CM) of the PES, all before and after BT injection. Study design: prospective. Results: There was a reduction in PES CM pressure after BT injection. Acoustic analysis showed an improvement in harmonics quality after treatment. There was smoother voice utterance and spasm improvement after BT. Conclusion: all patients with PES spasms presented vocal improvement after BT injection in the PES.

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reabilitação fonatória do laringectomizado total: utilização de toxina botulínica na voz tráqueo-esofágica com prótese fonatória

Chone

Teixeira

Andreollo

et al. 2008

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

show abstract

“…Esophageal voice rehabilitation has a success rate of 24% to 26% 6,12 and prosthesis with TEP has an increased success rate of 58% to 94% for immediate results of primary TEP and 61% to 64% for secondary TEP 6,8,10,11,[13][14][15][16][17] . Long-term results in the literature, with one-year follow up, ranged from 65% to 85% in primary and 69% to 83% in secondary approach 6,10,[13][14][15][17][18][19][20][21][22] .…”

Section: Introductionmentioning

confidence: 99%

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Chone

Spina

Crespo

et al. 2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

To evaluate long-term use of indwelling Blom-Singer voice prosthesis (VP) for vocal rehabilitation of patients submitted to total laryngectomy (TL). We studied the influence of time of performance of tracheo-esophageal puncture (TEP), use of radiotherapy (XRT), patients' age and length of followup, on the rate of success of use of VP. Study Design: clinical prospective. Material and Method: Seventy-one patients were submitted to TL and rehabilitated with indwelling VP. Both otolaryngologist and speech pathologist evaluated all patients for the vocal functional issues during the follow-up. The relative data on time of placement of VP, time of use of PF, use of XRT, age, length of follow-up and interval of duration of each VP were recorded during the follow-up. Results: There was 87% of patients with primary TEP and 13% with secondary. The follow-up varied from 12 to 87 months, with average of 38 months for primary and 51 months for secondary TEP. There were 59% of patients submitted to XRT. The general rate of success was of 94%. In primary TEP it was of 97% and in the secondary, it was 78% (p=0.07) and after two years, the success rate was of 96% in primary TEP and 75% in secondary TEP (p=0.07). The use of XRT and patient age did not influence the success of use of VP among primary and secondary TEP, independently of length of follow-up. Conclusion: Tendency to greater success rate in voice rehabilitation after TL with primary TEP was observed. Postoperative XRT and age did not influence success rate.Palavras-chave: câncer, laringe, reabilitação vocal, voz, prótese fonatória.

show abstract

Success and Predictability of Provox Prosthesis Voice Rehabilitation

Hotz

Baumann²,

Schaller³

et al. 2002

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

Immediate Tracheoesophageal puncture for voice restoration in laryngopharyngeal resection

Cited by 26 publications

References 9 publications

Reabilitação fonatória do laringectomizado total: utilização de toxina botulínica na voz tráqueo-esofágica com prótese fonatória

Reabilitação fonatória do laringectomizado total: utilização de toxina botulínica na voz tráqueo-esofágica com prótese fonatória

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Success and Predictability of Provox Prosthesis Voice Rehabilitation

Contact Info

Product

Resources

About