Document Detail


Unaided speech in tube-free tracheostomy: The supplementary sling procedure.
MedLine Citation:
PMID:  12297812     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: In some patients after tube-free tracheostomy, air escape hinders voice optimization. Our objective was to determine whether a supplementary sling procedure could reduce air escape and improve unaided speech and cough in these patients. STUDY DESIGN AND SETTING: From September 1998 through June 2001, 12 patients underwent supplementary sling procedures at the Cleveland Clinic. After surgery, stoma constriction and voice production were assessed. RESULTS: Fifteen procedures were performed in 12 patients. Two patients required revision procedures. All 9 patients with sufficient follow-up have markedly improved stoma constriction and speech production. Three patients with less than 3 months' follow-up already show early improvement. CONCLUSION: The supplementary sling procedure effectively reduces air escape and helps unaided speech and cough in patients with tube-free tracheostomata. SIGNIFICANCE: As more patients undergo tube-free tracheostomy, the pool of patients who might benefit from a sling procedure will grow. Indications might extend to postlaryngectomy or post-laryngeal transplant patients.
Authors:
Isaac Eliachar; Lee M Akst; Ron Eliashar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  127     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-09-25     Completed Date:  2002-10-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  213-20     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, The Cleveland Clinic Foundation, Ohio 44195, USA. eliachi@ccf.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Airway Resistance
Anastomosis, Surgical / methods
Cough*
Female
Follow-Up Studies
Head and Neck Neoplasms / surgery
Humans
Laryngostenosis / surgery
Male
Middle Aged
Neck Muscles / surgery*
Patient Selection
Reoperation / statistics & numerical data
Sleep Apnea, Obstructive / surgery
Speech*
Tracheostomy / adverse effects,  instrumentation,  methods*
Treatment Outcome
Vocal Cord Paralysis / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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