AI Article Synopsis
- Total laryngectomy patients often use esophageal speech for rehabilitation, but success rates are only between 40 to 65%.
- Tracheoesophageal shunts have helped some patients who can't speak, but they come with complications and failures.
- New techniques like pharyngeal block and myotomy may improve outcomes for patients with speech failures caused by muscular coordination issues.
Article Abstract
In those patients requiring total laryngectomy, esophageal speech appears to be the most desirable form of rehabilitation. Satisfactory esophageal speech is only obtained in 40 to 65% of the patients. Tracheoesophageal shunts as per Singer and Panje have provided solutions for a significant number of non-speakers, but still present problems as well as failures. Efforts to correct these failures have led to the concept of constrictor and cricopharyngeal discoordination. Pharyngeal block has demonstrated not only temporary correction of tracheoesophageal shunt failure but improvement and production of esophageal speech in non-shunted patients. Subsequently myotomy has provided permanent esophageal speech. This paper proposes consideration of this procedure in esophageal speech failures, when the Taub test and/or pharyngeal block demonstrates the presence of constrictor-cricopharyngeus discoordination. Representative cases are presented.
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| http://dx.doi.org/10.1002/lary.5540940113 | DOI Listing |
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View Article and Find Full Text PDFArticle Synopsis
- In Germany, around 950-1200 laryngectomies are performed each year due to serious throat cancers, which lead to major changes in voice and communication abilities, impacting mental health and social interactions.
- A multidisciplinary rehabilitation team is essential to help patients regain their communication skills through various methods like pseudowhispering, esophageal speech, and tracheoesophageal speech prostheses.
- Tracheoesophageal speech prostheses are considered the best option for clear voice production, but they require regular healthcare visits for maintenance, and educating patients on these methods is crucial for their social reintegration.
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