Voice evaluation of myomucosal shunt after total laryngectomy: comparison with esophageal speech. 1989

D Brasnu, and M Strome, and L C Buchman, and M C Pfauwadel, and M Menard, and P Martinez, and H Laccourreye
Department of Otolaryngology, Head and Neck Surgery, Hôpital Laennec, Paris, France.

The vocal quality attained with a tracheoesophageal myomucosal shunt (MMS) as described by Strome was evaluated in four patients and compared with three esophageal speakers and two normal subjects. The patients with MMSs acquired speech sooner. Fundamental frequency, pitch, timbre, and melody were analyzed with computerized electroglottography and sonography. Intelligibility was deemed better after the MMS primarily because phonation time approximated that of normal speech, and this study suggests that, following total laryngectomy, the vocal quality achieved using the MMS is preferrable to that of esophageal speech.

UI MeSH Term Description Entries
D007825 Laryngectomy Total or partial excision of the larynx. Laryngectomies
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004594 Electrophysiology The study of the generation and behavior of electrical charges in living organisms particularly the nervous system and the effects of electricity on living organisms.
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D013071 Speech, Alaryngeal Methods of enabling a patient without a larynx or with a non-functional larynx to produce voice or speech. The methods may be pneumatic or electronic. Voice Production, Alaryngeal,Alaryngeal Speech,Alaryngeal Voice Production,Alaryngeal Voice Productions,Production, Alaryngeal Voice,Productions, Alaryngeal Voice,Voice Productions, Alaryngeal
D014132 Trachea The cartilaginous and membranous tube descending from the larynx and branching into the right and left main bronchi. Tracheas

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