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Oesophageal function in tracheoesophageal fistula speakers after laryngectomy

  • W Allan (a1), L Burgess (a2), A Hurren (a3), R Marsh (a4), P R Samuel (a5) and P K Small (a6)...

Abstract

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.

Copyright

Corresponding author

Address for correspondence: Mr P R Samuel, ENT Department, Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK. Fax: 01915699202 E-mail: peter.samuel@chs.northy.nhs.uk

References

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1 Singer, MI, Blom, ED. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 1980;89:529–33
2 Artazkoz del Toro, J, Lopez Martinez, R. Videofluoroscopy of the pharyngoesophageal segment after total phonatory laryngectomy [in Spanish]. Acta Otorrinolaringol Esp 1997;48:51–6
3 Ward, EC, Bishop, B, Frisby, J, Stevens, M. Swallowing outcomes following laryngectomy and pharyngolaryngectomy. Arch Otolaryngol Head Neck Surg 2002;128:181–6
4 Roed-Petersen, K, Jorgensen, K, Larsen, B. The phayngo-oesophageal sphincter after laryngectomy. A manometric investigation. Acta Otolaryngol 1979;88:310–13
5 Dantas, RO, Aguiar-Ricz, LN, Gielow, I, Filho, FV, Mamede, RC. Proximal esophageal contractions in laryngectomized patients. Dysphagia 2005;20:101–4
6 Dantas, RO, Aguiar-Ricz, LN, de Oliveira, EC, Mello-Filho, FV, Mamede, RC. Intraoesophageal pressure during esophageal speech in laryngectomized patients rehabilitated or no rehabilitated for oral communication. Arq Gastroenerol 2001;38:158–61
7 Dantas, RO, Aguiar-Ricz, LN, Oliveira, EC, Mello-Filho, FV, Mamede, RC. Influence of esophageal motility on esophageal speech of laryngectomized patients. Dysphagia 2002;17:121–5
8 Choi, EC, Hong, WP, Kim, CB, Yoon, HC, Nam, JI, Son, EJ et al. Changes of esophageal motility after total laryngectomy. Otolaryngol Head Neck Surg 2003;128:691–8
9 Hanks, JB, Fisher, SR, Meyers, WC, Christian, KN, Postlethwait, RW, Jones, RS. Effect of total laryngectomy on esophageal motility. Ann Otol Rhinol Laryngol 1981;90:331–4
10 Dworkin, JP, Meleca, RJ, Zacharek, MA, Stachler, RJ, Pasha, R, Abkarian, GG et al. Voice and deglutition functions after the supracricoid and total laryngectomy procedures for advanced stage laryngeal carcinoma. Otolaryngol Head Neck Surg 2003;129:311–20
11 Wilkinson, S. Clinician's Guide to Oesophageal Diseases. Oxford: Oxford University Press, 1998
12 van As-Brooks, CJ, Hilgers, FJ, Koopmans-van Beinum, FJ, Pols, LC. Anatomical and functional correlates of voice quality in tracheoesophageal speech. J Voice 2005;19:360–72
13 Blom, ED. Tracheoesophageal Voice Restoration Following Total Laryngectomy. San Diego: Singular Publishing, 1998;106
14 Gaze, MN, Wilson, JA, Gilmour, HM, McDougall, RH, Maran, AG. The effect of laryngeal irradiation on pharyngoesophageal motility. Int J Radiat Oncol Biol Phys 1991;21:1315–20

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Oesophageal function in tracheoesophageal fistula speakers after laryngectomy

  • W Allan (a1), L Burgess (a2), A Hurren (a3), R Marsh (a4), P R Samuel (a5) and P K Small (a6)...

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