Relation between the dimensions and intraluminal pressure of the pharyngoesophageal segment and tracheoesophageal voice and speech proficiency

Abstract

The poorer speakers presented a lower intraluminal pressure in the PES at rest and a higher value during phonation compared with moderate speakers. Good speakers showed a significant difference in the PPES-PPW dimension.

Correlation of Maximum Phonation Time and Vocal Intensity With Intraluminal Esophageal and Pharyngoesophageal Pressure in Total Laryngectomees

“…On the basis of the present findings, we infer that the PES continues to play an outstanding role among the criteria of successful voice aquisition with a TEP, as shown in studies using different methodologies, [8][9][10][11][12][13][14]24,25 especially regarding vocal quality. On the basis of the present findings, we infer that the PES continues to play an outstanding role among the criteria of successful voice aquisition with a TEP, as shown in studies using different methodologies, [8][9][10][11][12][13][14]24,25 especially regarding vocal quality.…”

“…[5][6][7][8][9][10][11][12][13] Objective measurements may be of considerable potential value regarding the evaluation of PES and of the esophagus, possibly filling the gap between form and vocal result, thus contributing to research and to resolutive decision making. [5][6][7][8][9][10][11][12][13] Objective measurements may be of considerable potential value regarding the evaluation of PES and of the esophagus, possibly filling the gap between form and vocal result, thus contributing to research and to resolutive decision making.…”

Electrophysiological activity of the pharyngoesophageal transition of total laryngectomees

“…Using the same instrument for assessment, Takeshita et al also characterized as moderate most of their tracheoesophageal speakers (65%) and a minority as good speakers (5%). Applying the same protocol as used in the present study, Ceccon et al detected 66.7% good speakers and 33.3% moderate speakers.…”

“…For the characterization of tracheoesophageal voice and speech proficiency we used an adaptation of the protocol of Hilgers et al, which considers three global aspects: phonatory skills (fluency, maximum phonation time, maximum vocal intensity, dynamic extension, facility to initiate phonation, articulation, voice modulation, and speech velocity), additional factors (stoma noise, audible inspired breath, and associated head, neck, or shoulder movements), and general rating (voice quality and speech intelligibility). To characterize the laryngectomees under study we only used the final rating, which involves a joint analysis of all parameters and which defines the speakers as good (a maximum of three aspects are rated as moderate and all others are rated as good), moderate (only one aspect is rated as poor), or poor (two or more aspects are rated as poor), according to the criteria of the protocol of Takeshita et al…”

Nasalance and nasality of tracheoesophageal speech in total laryngectomee

“…There is much data in published literature concerning the subjective (2,3) and objective (4,5) parameters of tracheoesophageal voice. Important information has been added from findings in examinations, such as esophageal manometry (6)(7)(8) and videofluoroscopy (3,9,10) , to understand how the structures of the digestive tract and the pharyngoesophageal segment participate in the production of the tracheoesophageal sound. However, little is known about the participation of the rhinopharynx in the nasalance and nasality of the tracheoesophageal voice.…”