Relation between videofluoroscopy of the esophagus and the quality of esophageal speech

Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)
Marina Lang FouquetMara Behlau

Abstract

The goal of the current study was to compare the quality of esophageal speech and voice to videofluoroscopic features of the esophagus and pharyngoesophageal (PE) segment. The speech and voice characteristics of 30 laryngectomized patients were rated by 5 speech-language pathologists. Based on these ratings, patients were divided into 3 categories: fluent (n = 9), moderately fluent (n = 10) and nonfluent (n = 11). Videofluoroscopy of the PE region was then performed during both swallowing and voice production. An insufflation test and percutaneous pharyngeal plexus block were required in 9 patients to determine the etiology of poor esophageal voice production. The strongest videofluoroscopic indicators of nonfluent speakers were: (1) small or absent air reservoir and (2) lack of a vibrating PE segment. Fluent speakers presented with shorter PE segments (1.17 mm) compared to moderately fluent speakers (17.1-29.9 mm). Perceptually, fluent speakers presented with a predominantly rough vocal quality. In contrast, moderately fluent speakers presented with a tense quality. In addition, stoma blast noise was reduced in fluent speakers. Videofluoroscopic findings highly correlated with the quality of esophageal speech.

Citations

May 12, 2011·IEEE Transactions on Bio-medical Engineering·Raphael SchwarzErcan Gurlek
Jan 11, 2014·CoDAS·Adriana Pereira Defina IquedaLílian Aguiar-Ricz
Sep 24, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·I JacobiM W M van den Brekel
Jan 29, 2011·Pró-fono : revista de atualização científica·Telma Kioko TakeshitaLílian Aguiar-Ricz
Jul 9, 2021·Journal of Biomechanics·Fernando H T SantosByron Erath
Oct 16, 2018··Masaaki Fukumoto, Masaaki Fukumoto

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