| Oesophageal function in tracheoesophageal fistula speakers after laryngectomy. | |
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MedLine Citation:
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PMID: 18845037 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Patients who have undergone tracheoesophageal puncture for surgical voice restoration often use unnaturally high oesophageal air pressures during speech. This study examined the effect of high oesophageal air pressure on oesophageal body motility, lower oesophageal sphincter function and dyspeptic symptoms. DESIGN: Cross-sectional study using several investigative tests of oesophageal function. MATERIALS AND METHODS: Sixteen patients who used tracheoesophageal fistula speech underwent several investigations, including: oesophageal manometry, videofluoroscopy, barium swallow, and tracheal pressure measurements during speech. The patients were also asked to complete a dyspepsia questionnaire. RESULTS: We demonstrated that more than 50 per cent of these patients had subjective or objective disordered oesophageal function. Videofluoroscopy and manometry identified oesophageal dysmotility in the same patients. CONCLUSION: Oesophageal function appears to be altered by tracheoesophageal fistula speech. However, our study showed that there is no contraindication to proceeding with tracheoesophageal fistula voicing even in patients with a history of oesophageal dysfunction. |
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Authors:
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W Allan; L Burgess; A Hurren; R Marsh; P R Samuel; P K Small |
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Publication Detail:
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Type: Journal Article Date: 2008-10-10 |
Journal Detail:
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Title: The Journal of laryngology and otology Volume: 123 ISSN: 1748-5460 ISO Abbreviation: J Laryngol Otol Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-05-28 Completed Date: 2010-01-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: England |
Other Details:
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Languages: eng Pagination: 666-72 Citation Subset: AIM; IM |
Affiliation:
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Department of Regional Medical Physics, Sunderland Royal Hospital, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Air Pressure Cross-Sectional Studies Dyspepsia Esophageal Motility Disorders / etiology* Esophagus / physiopathology, surgery* Female Humans Inhalation Laryngectomy / rehabilitation* Male Manometry Middle Aged Punctures Speech, Esophageal* Trachea / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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