Relation between the dimensions and intraluminal pressure of the pharyngoesophageal segment and tracheoesophageal voice and speech proficiency

Autor(es)

Takeshita, Telma Kioko ^[1] ; Zozolotto, Henrique Ceretta ^[2] ; Ribeiro, Eduardo Alvarez ^[3] ; Ricz, Hilton ^[1] ; de Azevedo-Marques, Paulo Mazzoncini ^[3] ; Dantas, Roberto Oliveira ^[3] ; Aguiar-Ricz, Lilian ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Dept Ophthalmol Otorhinolaryngol & Head & Neck Su, Sch Med Ribeirao Preto, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Ctr Quantitat Methods, Sch Med Ribeirao Preto, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Dept Internal Med, Sch Med Ribeirao Preto, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK; v. 35, n. 4, p. 500-504, APR 2013.
• Citações Web of Science: 7

Resumo

Background The objective of the present study was to relate the dimensions and the intraluminal pressure of the pharyngoesophageal segment (PES) to the voice and speech proficiency of total laryngectomees with a tracheoesophageal prosthesis (TEP). Methods Twenty total laryngectomees with secondary TEP insertion underwent evaluation of voice and speech, manometry, and videofluoroscopy. Results Most laryngectomees (65%) were moderate speakers. The poorer speakers presented a lower intraluminal pressure in the PES at rest (4.44 mmHg) and a higher value (40.46 mmHg) during phonation. Good speakers presented a significant difference in the anteroposterior distance between prominence of the PES and the posterior pharyngeal wall (PPES-PPW) in the rest (6.09 mm) to phonation (3.24 mm). Conclusions The poorer speakers presented a lower intraluminal pressure in the PES at rest and a higher value during phonation compared with moderate speakers. Good speakers showed a significant difference in the PPES-PPW dimension. (c) 2012 Wiley Periodicals, Inc. Head Neck, 2013 (AU)

• Processo FAPESP: 08/07793-8 - Correlação entre pressão intraluminal e medidas quantitativas do comportamento funcional da transição faringoesofágica em repouso e durante a fonação
• Beneficiário: Telma Kioko Takeshita Monaretti
• Modalidade de apoio: Bolsas no Brasil - Mestrado