Possible factors of success in teaching esophageal speech

Kresić, Sanja; Veselinović, Mila; Mumović, Gordana; Mitrović, Slobodan M.

doi:10.2298/mpns1502005k

Cited by 11 publications

(9 citation statements)

References 3 publications

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“…In the field of oncology, there are many studies on the treatment of neoplasias, but few of them describe rehabilitation in an interdisciplinary way. The evidence-based practice is broad in terms of new techniques and the performance of each professional independently 27 . Nevertheless, a series of studies published by Current Opinion in Otolaryngology & Head & Neck Surgery provides an enlightened and innovative method for rehabilitation of laryngectomized patients in several countries, and all of these studies emphasize the importance of the interdisciplinary approach.…”

Section: Discussionmentioning

confidence: 99%

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Interdisciplinary interventions in the perioperative rehabilitation of total laryngectomy: an integrative review

Rosa

Fores

Silva

et al. 2018

Clinics

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The aim of this study was to use the scientific literature to identify interdisciplinary interventions for rehabilitation during the perioperative period for cancer patients who underwent total laryngectomy. We systematically researched controlled descriptors: laryngectomy, patient care team/education, patient care team/manpower, patient care team/methods, patient care team/utilization and rehabilitation. We performed a qualitative narrative synthesis and identified 549 articles. Of these, 113 were duplicates, 398 were excluded during the analysis of the title and abstract, 1 was excluded for unfeasibility of access, and 4 were excluded after reading the article in full, resulting in 33 included articles. The articles addressed different types of interdisciplinary actions, such as vocal, olfactory, pulmonary and alimentary rehabilitation; comparisons of prosthetic devices; and descriptions of practices for total laryngectomized patient rehabilitation. Although the interventions found in the literature were effective in the rehabilitation of the total laryngectomized patient, their interdisciplinarity was not evidenced but was highlighted in these studies as a factor for improvement in terms of practical assistance and quality of life.

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Section: Discussionmentioning

confidence: 99%

“…In general, the interdisciplinary team acts in a manner that optimizes treatment and rehabilitation, in addition to improving quality of life mainly in terms of the functionality of the patient with total laryngectomy, and addresses several aspects of the patient, depending on the individual demand of each 5 , 27 .…”

Section: Discussionmentioning

confidence: 99%

Interdisciplinary interventions in the perioperative rehabilitation of total laryngectomy: an integrative review

Rosa

Fores

Silva

et al. 2018

Clinics

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“…Qing Chen [19] surveyed that collective esophageal speech training improved self-efficacy and confidence of laryngectomees. The success in mastering esophageal speech did not depend on whether the patients were trained individually or collectively, but the motivation of the patients [20].…”

Section: Esophageal Speech Training Helps To Add Positivitymentioning

confidence: 93%

A Qualitative Study on Experiences of Patients with Esophageal Speech Training after Total Laryngectomy

Geng¹,

Xi²,

Wu³

2021

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Background: Patients who had total laryngectomy not only have a pressure from the possible diagnosis of laryngeal cancer, but also suffer from unspeakable misery. To relieve the suffering, some patients choose esophageal speech training. However, most of the current researches focus solely on the results of the training with the negligence of the patients' mental health and their life experience during the training. A qualitative research is highly sensitive to patients' subjective feelings, and thus able to capture their subtle emotional changes. Objective: To explore deeply patients' real experiences of esophageal speech training after total laryngectomy and reveal the public their training experience of the unique and special group. Methods: In May 2018, researchers conducted a two-month field observation on and in-depth interviews with 15 patients who were on esophageal speech training after total laryngectomy in the esophageal speech training room of the Eye and ENT Hospital of Fudan University. The research applied phenomenological research method and Colaizzi Data Analysis. Results: The data analysis indicated four main themes: changes of mindset; showing positive attitudes and behaviors in training; shift in social relations; and arduous training process. Conclusion: The study has the finding that patients on esophageal speech training had negative emotions in the early stage of the training and dissatisfaction with its teaching. The repercussion of the surgery brought them changes of social relations, social bias and prejudice ensued. It is, therefore, urgent and crucial to give the speech trainees psychological counseling in the early stage to improve their qualities of life, to mobilize social support to incentivize their training, to optimize esophageal speech training teaching, and to regulate the management of the esophageal speech training environment.

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“…2,6 Electrolaryngeal speech uses an electrolarynx for speech production. 7 Despite reported successes with tracheoesophageal speech, 8 the surgery requires a level of mastery not all surgeons can achieve, esophageal speech may require a long learning curve on the part of laryngectomees and few master this skill, 9,10 and the high cost of electrolaryngeal devices, 11 limit other alternatives for patients in our setting.…”

mentioning

confidence: 94%

PHONETOVOX: A Novel Prototype Device for Alaryngeal Speech

Econ¹,

Soriano²

2018

Philipp J Otolaryngol Head Neck Surg

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Objective: To describe a prototype improvised hand held device for alaryngeal speech. Methods: Design: Instrument Innovation Setting: Tertiary Private Hospital Participants: Four listeners with normal hearing, were native Tagalog-speakers and had no previous experience with alaryngeal speech types participated in initial trials. Results: The prototype PHONETOVOX was fabricated using a soundproofed cellphone casing with an intra-oral sound port attachment and a cellphone was loaded with Pocket Talkbox v. 1.4.0 software. The device was tested for its ability to produce intelligible speech by using the cellphone as a substitute for the larynx using oral cavity resonators and articulators, producing a synthesized sound mimicking the human voice. The PHONETOVOX produced intelligible words. Initial testing using a C-V-C Tagalog Word List had 4 listeners identify 34, 35, 47, and 54 out of 93 words (37 to 58%), with an overall average intelligibility of 46%. Conclusion: Despite its restrictions in articulation and the wide range of results from the four listeners, our initial results may suggest the potential of PHONETOVOX as another modality for alaryngeal speech comparable to the 36 – 38 % intelligibility of commercially-available devices. Further trials with actual laryngectomees are needed to further establish intelligibility and acceptability. Keywords: Laryngectomy, Alaryngeal speech, Laryngeal Cancer

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Possible factors of success in teaching esophageal speech

Cited by 11 publications

References 3 publications

Interdisciplinary interventions in the perioperative rehabilitation of total laryngectomy: an integrative review

Interdisciplinary interventions in the perioperative rehabilitation of total laryngectomy: an integrative review

A Qualitative Study on Experiences of Patients with Esophageal Speech Training after Total Laryngectomy

PHONETOVOX: A Novel Prototype Device for Alaryngeal Speech

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