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Pharyngoesophageal myotomy for vocal rehabilitation of laryngectomees
Author(s) -
Mahieu Hans F.,
Annyas Albert A.,
Schutte Harm K.,
van der Jagt Eric J.
Publication year - 1987
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198704000-00008
Subject(s) - myotomy , esophageal speech , phonation , medicine , rehabilitation , breathy voice , audiology , surgery , esophagus , achalasia , physical therapy , laryngectomy , larynx
Pharyngoesophageal myotomy, performed in 16 laryngectomees to improve vocal rehabilitation, proved to have some negative side effects. Although no failures of speech rehabilitation using a button were consequently found, a considerable number of button assisted esophageal speakers had a breathy voice. Also, the number of poor injection‐esophageal speakers was much higher than in the group of nonmyotomized laryngectomees. A “normal” pseudoglottis could only rarely be identified by fluoroscopy in the myotomized group. A significantly lower intratracheal pressure appeared to be required for tracheo‐esophageal phonation after myotomy. To improve the slightly disappointing voice rehabilitation results of the myotomized laryngectomees, a modified myotomy is proposed.