Analysis of failure of voice production by a sound-producing voice prosthesis

The Journal of Laryngology and Otology
M van der TornH F Mahieu

Abstract

To analyse the cause of failing voice production by a sound-producing voice prosthesis (SPVP). The functioning of a prototype SPVP is described in a female laryngectomee before and after its sound-producing mechanism was impeded by tracheal phlegm. This assessment included: perceptual voice evaluation of read-aloud prose by an expert listener; inspection of the malfunctioning SPVP; and aero-acoustical in vivo registrations using a computer-based data acquisition system. Sound-producing voice prosthesis speech is higher pitched, stronger, contains less aperiodic noise and requires a lower airflow rate than the patient's regular tracheoesophageal (TE) shunt speech. Tracheal phlegm caused malfunction of the vibrating silicone lip of the SPVP by causing it to stick to its stainless steel container in an opened position, thereby reducing the SPVP to no more than a regular TE shunt valve from a functional point of view. Tracheal phonatory pressure and dynamic vocal intensity range were not affected by the functional status of the SPVP. To exploit the advantages an SPVP could offer female laryngectomees with an atonic or severely hypotonic pharyngoesophageal segment, the sound-producing mechanism of the SPVP needs to be less vulnerabl...Continue Reading

Citations

Dec 7, 2013·International Journal of Occupational Medicine and Environmental Health·Ewa Niebudek-Bogusz, Mariola Śliwińska-Kowalska
Mar 21, 2020·Journal of Speech, Language, and Hearing Research : JSLHR·Iris MeerschmanEvelien D'haeseleer
Aug 4, 2016·Logopedics, Phoniatrics, Vocology·Marco GuzmanMatthias Echternach
Sep 26, 2012·Annual Review of Biomedical Engineering·G J Verkerke, S L Thomson
Nov 8, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery

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