Original Article

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

Telma Kioko Takeshita

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Henrique Ceretta Zozolotto,

Henrique Ceretta Zozolotto

Center of Quantitative Methods, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Eduardo Alvarez Ribeiro,

Eduardo Alvarez Ribeiro

Department Internal Medicine, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Hilton Ricz MD, PhD,

Corresponding Author

Hilton Ricz MD, PhD

[email protected]

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, BrazilSearch for more papers by this author

Paulo Mazzoncini de Azevedo-Marques,

Paulo Mazzoncini de Azevedo-Marques

Department Internal Medicine, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Roberto Oliveira Dantas MD,

Roberto Oliveira Dantas MD

Department Internal Medicine, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Lílian Aguiar-Ricz PhD,

Lílian Aguiar-Ricz PhD

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Telma Kioko Takeshita,

Telma Kioko Takeshita

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Henrique Ceretta Zozolotto,

Henrique Ceretta Zozolotto

Center of Quantitative Methods, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Eduardo Alvarez Ribeiro,

Eduardo Alvarez Ribeiro

Department Internal Medicine, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Hilton Ricz MD, PhD,

Corresponding Author

Hilton Ricz MD, PhD

[email protected]

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, BrazilSearch for more papers by this author

Paulo Mazzoncini de Azevedo-Marques,

Paulo Mazzoncini de Azevedo-Marques

Department Internal Medicine, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Roberto Oliveira Dantas MD,

Roberto Oliveira Dantas MD

Department Internal Medicine, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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Lílian Aguiar-Ricz PhD,

Lílian Aguiar-Ricz PhD

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

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First published: 20 January 2012

https://doi.org/10.1002/hed.22921

Citations: 11

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Abstract

Background

The objective of the present study was to relate the dimensions and the intraluminal pressure of the pharyngoesophageal segment (PES) to the voice and speech proficiency of total laryngectomees with a tracheoesophageal prosthesis (TEP).

Methods

Twenty total laryngectomees with secondary TEP insertion underwent evaluation of voice and speech, manometry, and videofluoroscopy.

Results

Most laryngectomees (65%) were moderate speakers. The poorer speakers presented a lower intraluminal pressure in the PES at rest (4.44 mmHg) and a higher value (40.46 mmHg) during phonation. Good speakers presented a significant difference in the anteroposterior distance between prominence of the PES and the posterior pharyngeal wall (PPES-PPW) in the rest (6.09 mm) to phonation (3.24 mm).

Conclusions

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. © 2012 Wiley Periodicals, Inc. Head Neck, 2013

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Volume35, Issue4

April 2013

Pages 500-504

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

Abstract

Background

Methods

Results

Conclusions

REFERENCES

Citing Literature

References

Information

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

Abstract

Background

Methods

Results

Conclusions

REFERENCES

Citing Literature

References

Related

Information