Esophageal insufflation and videofluoroscopy for evaluation of esophageal speech in laryngectomy patients: clinical implications
| Autor: | P M, Sloane, J F, Griffin, T P, O'Dwyer, J M, Griffin |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Insufflation medicine.medical_specialty Radiography medicine.medical_treatment Laryngectomy Speech Esophageal Postoperative stricture Esophagus Swallowing Methods otorhinolaryngologic diseases medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Phonation Aged business.industry Videotape Recording Esophageal speech Middle Aged Speech Therapist Surgery Pneumoradiography Fluoroscopy Pharynx Radiology business |
| Zdroj: | Radiology. 181:433-437 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.181.2.1924785 |
| Popis: | Esophageal speech proficiency in 75 laryngectomy patients was rated on a seven-point scale by a speech therapist. Radiologic evaluation of the reconstructed pharyngoesophageal (PE) region during swallowing, attempted phonation, and phonation, by means of esophageal insufflation and barium-enhanced videofluoroscopy and spot radiography revealed the PE segment to be normal in 13 patients and hypotonic in 21. Hypertonicity or spasm of the PE segment was detected in 28 patients. Three patients had a postoperative stricture. Speech in 24 patients was fluent at the time of assessment; the remainder had negligible speech. Correlation between esophageal speech fluency and response at insufflation was highly positive. Esophageal insufflation, when combined with radiologic assessment, provides a reproducible method for accurate evaluation of the PE transition zone. Videofluoroscopy allowed good visualization of tracheoesophageal dynamics. Results indicated anatomic factors in the reconstructed PE region to profoundly affect the acquisition of esophageal speech. |
| Databáze: | OpenAIRE |
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