OBJECTIVE To decrease the aspiration rate of the previously reported simple mucodermal tracheoesophageal (TE) shunt method for voice restoration after total laryngectomy with the use of omohyoid muscle loop. DESIGN Retrospective clinical analysis. SETTING Department of Otorhinolaryngology, Fukui Medical University, Fukui, Japan. PATIENTS Ten male patients underwent total laryngectomy and ...

Nowadays tracheoesophageal voice prosthesis after total laryngectomy are widely used. Data on maximum phonation time and spectrum have been studied by different authors and are well known. On the contrary pitch control did not received much attention. Pitch has an important role not only in singing but also in the prosodic characteristics of speech. To our knowledge pitch variations have been s...

The authors implemented medialization thyroplasty with a customized silicone implant in a total of 43 operations (36 patients) in 1999-2003. In 5 of these patients, the medialization thyroplasty was combined with cricothyroid subluxation (3 cases) or adduction of arytenoid cartilage (3 cases). One patient received medialization thyroplasty, cricothyroid subluxation and adduction of arytenoid ca...

OBJECTIVES To investigate the efficacy of stretch-and-flow voice therapy as a primary physiological treatment for patients with hyperfunctional voice disorders. STUDY DESIGN Prospective case series. METHODS Participants with a diagnosis of primary muscle tension dysphonia or phonotraumatic lesions due to hyperfunctional vocal behaviors were included. Participants received stretch-and-flow v...

OBJECTIVES The objectives of this study are to evaluate the impact on voice of both duration and intensity level of 2 hours of continuous oral reading. Voice modifications accompanying changes in intensity level during prolonged reading tasks are analyzed. METHODS Fifty normophonic women undergo two sessions of voice loading in which the required intensity level of voice varied between 60-65 ...

Objectives of the study: The individuals with laryngopharyngeal reflux are prone for aspiration of refluxed contents and so there is a need for aerodynamic evaluation in these individuals. Hence, the present study investigated the aerodynamic characteristics in individuals with Laryngopharyngeal reflux. Study design: Prospective control group design. Method: Thirty laryngopharyngeal reflux subj...

Voice analysis was performed on 21 "standard" laryngectomized, male patients with a Provox voice prosthesis, along with an age- and sex-matched control group of 20 normal speakers, using acoustical analyses (MDVP and CSL, Kay Elemetrics Corp.), maximum phonation time measurements, and perceptual evaluations. Comparison between MDVP and CSL revealed that the latter was not useful for the analysi...