PMID: 11917714Mar 29, 2002Paper

Intraesophageal pressure during esophageal speech in laryngectomized patients rehabilitated or no rehabilitated for oral communication

Arquivos De Gastroenterologia
R O DantasR C Mamede

Abstract

After laryngectomy for treatment of pharyngeal/laryngeal carcinomas the patients may be rehabilitated, for oral communication, with the esophageal speech. To study the intra-esophageal pressure during the esophageal speech. It was measured the intra-esophageal pressure in 25 laryngectomized patients aged 40 to 70 years (median 57 years), 10 rehabilitated with esophageal speech and 15 unable to do so. The manometric method with continuous perfusion was used. The esophageal pressures was measured 3 to 5 cm below the upper esophageal sphincter when the patients tried to speak the vowel "a". Sometimes the air swallowed went to the stomach, with a peristaltic or simultaneous contraction in the esophageal body. During the attempt of esophageal speech the intra-esophageal pressure was higher in patients able to have esophageal speech (26.4 +/- 10.1 mm Hg, mean +/- SD) than in patients unable to do so (13.7 +/- 7.2 mm Hg). The esophageal contraction after a swallow of air was also higher in patients with esophageal speech (45.3 +/- 8.6 mm Hg) than in patients unable to do so (33.8 +/- 13.1 mm Hg). Laryngectomized patients rehabilitated with esophageal speech has a higher intra-esophageal pressure during speech than patients unable to d...Continue Reading

References

Jul 1, 1986·Gastroenterology·P J KahrilasR C Arndorfer
Oct 1, 1982·Archives of Otolaryngology·S D Schaefer, D F Johns
Aug 12, 1998·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·R O DantasM A Souza

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Citations

Jan 29, 2011·Pró-fono : revista de atualização científica·Telma Kioko TakeshitaLílian Aguiar-Ricz
Oct 11, 2008·The Journal of Laryngology and Otology·W AllanP K Small
Sep 21, 2005·Dysphagia·Roberto Oliveira DantasRui Celso Martins Mamede
Jun 20, 2014·The Annals of Otology, Rhinology, and Laryngology·Telma Kioko Takeshita-MonarettiLílian Neto Aguiar-Ricz
Mar 1, 2006·Journal of Voice : Official Journal of the Voice Foundation·Lílian Aguiar-RiczGleici Castro Perdoná

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