Document Detail

An objective method for prediction of tracheoesophageal speech production.
MedLine Citation:
PMID:  3455443     Owner:  NLM     Status:  MEDLINE    
Current methods of esophageal air insufflation testing to predict postoperative tracheoesophageal speech success lack procedural objectivity and rely on subjective interpretation of the voice production results. A range of intraesophageal pressure measurements was obtained prior to tracheoesophageal (TE) puncture in each of 27 laryngectomized patients in an attempt to predict TE speech outcome. Postoperatively, three levels of speech production were identified. Fluent speakers, nonfluent speakers, and nonspeakers demonstrated low, intermediate, and high intraesophageal pressures, respectively. Patients with intermediate and high preoperative pressures did not achieve fluent speech without myotomy. This technique offers a reliable, objective preoperative indication of expected TE speech fluency.
J S Lewin; R F Baugh; S R Baker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of speech and hearing disorders     Volume:  52     ISSN:  0022-4677     ISO Abbreviation:  J Speech Hear Disord     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1988-10-18     Completed Date:  1988-10-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376335     Medline TA:  J Speech Hear Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  212-7     Citation Subset:  IM    
University of Michigan Hospitals, Ann Arbor.
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MeSH Terms
Air Pressure*
Atmospheric Pressure*
Esophagus / physiology
Middle Aged
Speech, Alaryngeal*

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

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