Pressão intra-esofágica durante a produção da voz esofágica em pacientes laringectomizados com e sem recuperação da capacidade de comunicação oral

Dantas, Roberto Oliveira; Aguiar-Ricz, Lilian Neto; Oliveira, Elaine Cristina de; Mello-Filho, Francisco Veríssimo; Mamede, Rui Celso Martins

doi:10.1590/s0004-28032001000300003

Cited by 13 publications

(11 citation statements)

References 6 publications

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“…In the current study, fluent and moderately fluent speakers differed from the nonfluent group with regard to the presence of an air reservoir ( table 1 ), concurring with previous findings by Robe et al [23] , Van Weissenbruch et al [9] and Dantas et al [32] . In addition, the anteroposterior diameter and the length of the air reservoir did not distinguish between fluent and moderately fluent esophageal speakers.…”

Section: Discussionsupporting

confidence: 93%

Relation between Videofluoroscopy of the Esophagus and the Quality of Esophageal Speech

Fouquet

Gonçalves²,

Behlau³

2009

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The goal of the current study was to compare the quality of esophageal speech and voice to videofluoroscopic features of the esophagus and pharyngoesophageal (PE) segment. The speech and voice characteristics of 30 laryngectomized patients were rated by 5 speech-language pathologists. Based on these ratings, patients were divided into 3 categories: fluent (n = 9), moderately fluent (n = 10) and nonfluent (n = 11). Videofluoroscopy of the PE region was then performed during both swallowing and voice production. An insufflation test and percutaneous pharyngeal plexus block were required in 9 patients to determine the etiology of poor esophageal voice production. The strongest videofluoroscopic indicators of nonfluent speakers were: (1) small or absent air reservoir and (2) lack of a vibrating PE segment. Fluent speakers presented with shorter PE segments (1.17 mm) compared to moderately fluent speakers (17.1–29.9 mm). Perceptually, fluent speakers presented with a predominantly rough vocal quality. In contrast, moderately fluent speakers presented with a tense quality. In addition, stoma blast noise was reduced in fluent speakers. Videofluoroscopic findings highly correlated with the quality of esophageal speech.

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Section: Discussionsupporting

confidence: 93%

Relation between Videofluoroscopy of the Esophagus and the Quality of Esophageal Speech

Fouquet

Gonçalves²,

Behlau³

2009

Folia Phoniatr Logop

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“…In that study the manometric examinations were performed in the supine position and the measurements was made 5, 10, and 15 cm from the lower esophageal sphincter, more distal positions than in the present study. When we studied the esophageal contractions at a location similar to that of the present investigation, we found a lower contraction amplitude in patients incapable of esophageal speech, when they tried to pronounce the vowel /a/ and the air went through the esophagus [7]. In both studies the manometric examinations were performed in the supine position [5,7].…”

Section: Discussionsupporting

confidence: 65%

“…When we studied the esophageal contractions at a location similar to that of the present investigation, we found a lower contraction amplitude in patients incapable of esophageal speech, when they tried to pronounce the vowel /a/ and the air went through the esophagus [7]. In both studies the manometric examinations were performed in the supine position [5,7]. The position of the subjects during the manometric examination influences the measurement of esophageal motility.…”

Section: Discussionsupporting

confidence: 63%

“…In previous studies performed in the supine position and the contractions were measured at 15, 10, and 5 cm from the lower esophageal sphincter, we found low contraction amplitude [3], lower contraction amplitude in rehabilitated patients than in nonrehabilitated patients [5], and no change in the motility alterations with time [6], and we observed that in the proximal esophagus air swallows caused a contraction with lower amplitude in nonrehabilitated patients than in patients able to have esophageal speech [7].…”

Section: Discussionsupporting

confidence: 54%

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Proximal Esophageal Contractions in Laryngectomized Patients

et al. 2005

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After laryngectomy for treatment of laryngeal cancer, the distal esophageal contractions have low amplitude. Our hypothesis is that proximal esophageal contractions are also impaired. We studied the proximal esophageal contractions in 20 laryngectomized patients (16 men) with a mean age of 44.2 years, 12 rehabilitated patients with esophageal speech, and 12 controls (7 men, mean age of 46.5 years). We used the manometric method with continuous perfusion. All subjects were studied in the sitting position and performed five swallows of a 5-ml bolus of water alternated with five dry swallows. The contractions were measured 2 cm below the high-pressure zone of the pharyngoesophageal transition. The results showed that the amplitude and duration of contractions were different in laryngectomized patients compared with controls. The amplitude of contractions of patients (wet swallows: 37.3+/-20.7 mmHg, mean+/-SD) was lower than that of controls (81.1+/-31.7 mmHg). The duration of contractions was also lower in laryngectomized patients (2.2+/-0.7 s) than in controls (2.6+/-0.6 s). We conclude that the proximal esophageal contraction amplitude and duration of laryngectomized patients are lower than controls, a fact suggesting that laryngectomy may affect the proximal esophageal contractions.

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“…A dificuldade de comunicação verbal, estado físico, alterações fisiológicas, psicológicas e adaptação psicossocial são algumas condições que, quando vivenciadas, influenciam de forma negativa na QV da pessoa. (DANTAS et al, 2001). …”

Section: Avaliação Da Qualidade De Vida Relacionada à Saúdeunclassified

Qualidade de vida relacionada à saúde e uso de tecnologia de comunicação alternativa por pessoas com câncer de cabeça e pescoço

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Pressão intra-esofágica durante a produção da voz esofágica em pacientes laringectomizados com e sem recuperação da capacidade de comunicação oral

Abstract: RESUMO -Racional -As contrações esofágicas estão alteradas após laringectomia para tratamento de neoplasias

Cited by 13 publications

References 6 publications

Relation between Videofluoroscopy of the Esophagus and the Quality of Esophageal Speech

Relation between Videofluoroscopy of the Esophagus and the Quality of Esophageal Speech

Proximal Esophageal Contractions in Laryngectomized Patients

Qualidade de vida relacionada à saúde e uso de tecnologia de comunicação alternativa por pessoas com câncer de cabeça e pescoço

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