Videostroboscopic evaluation of neoglottis in alaryngeal patients after tracheoesophageal voice reconstruction without prosthesis
Philippine Journal of Otolaryngology Head and Neck Surgery
;
: 14-18, 2009.
Artículo
en Inglés
| WPRIM
| ID: wpr-633259
ABSTRACT
Objective:
To investigate by means of videostoboscopy the characteristics of the neoglottis after total laryngectomy with primary or secondary voice reconstruction using a non-prosthetic tracheoesophageal fistula technique.Methods:
Design:
Cross-Sectional StudySetting:
Tertiary Public HospitalSubjects:
Twenty alaryngeal patientsResults:
Videostroboscopy enabled evaluation of the neoglottis in all but two patients with a pectoralis major myocutaneous flap reconstruction of the pharyngoesophageal segment. Pooling of saliva was present in the cranial neoglottic opening in all subjects, but obscured visualization in these two. A circular neoglottic shape was most commonly seen. Vibration of the neoglottis was noted in 90% of all alaryngeal patients and was associated with a regular mucosal wave. Pharyngoesophageal vibration was noted in two thirds of patients. It was associated with a strong mucosal wave, regular vibration and a longer open phase.Conclusion:
Videostroboscopy confirmed that neoglottic vibration accompanies sound production while pharyngoesophageal vibration may reinforce and enhance voice production in alaryngeal patients with non-prosthetic TE voice reconstruction.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Tipo de estudio:
Estudio observacional
/
Factores de riesgo
Idioma:
Inglés
Revista:
Philippine Journal of Otolaryngology Head and Neck Surgery
Año:
2009
Tipo del documento:
Artículo
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