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Article: Long-term results of voice rehabilitation after total laryngectomy using primary tracheoesophageal puncture in Chinese patients

TitleLong-term results of voice rehabilitation after total laryngectomy using primary tracheoesophageal puncture in Chinese patients
Authors
Issue Date1997
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/amjoto
Citation
American Journal Of Otolaryngology - Head And Neck Medicine And Surgery, 1997, v. 18 n. 2, p. 94-98 How to Cite?
AbstractPurpose: Prosthetic voice restoration is an increasingly popular method of postlaryngectomy voice rehabilitation. Despite its success in non-tonal languages, the efficacy of tracheoesophageal speech in tonal languages was largely unknown. The aim of the present study was to evaluate the long-term results of voice rehabilitation using a Blom-Singer valve (BSV) in the tonal language of Cantonese. Patients and Methods: The records of 159 patients who underwent total laryngectomy and primary tracheoesophageal puncture (TEP) between May 1985 and December 1994 were retrospectively reviewed. Tracheoesophageal speech was regarded as functional if effective communication could be made during face-to-face conversation and telephone conversation. Any TEP-related complications were noted. Perioperative factors that might contribute to nonfunctional speech were subjected to statistical analysis. Results: Six hospital mortalities were excluded from speech analysis. Of the remaining 153 patients, the median follow-up was 25 months, ranging from 3 to 113 months. Seventy-three patients had closure of tracheoesophageal fistulae (TEF), and the main causes were ineffective voice production, dislodgment, and tracheostomal stenosis. Only 15 of them acquired functional speech before closure. The other 80 patients used a BSV as the chief modality of voice rehabilitation, with functional results achieved in 64 patients. None of the perioperative factors were found to be statistically significant in relation to nonfunctional speech. Conclusion: Primary TEP is an established method of voice rehabilitation after total laryngectomy. In our series, 52% patients achieved functional tracheoesophageal speech using a BSV.
Persistent Identifierhttp://hdl.handle.net/10722/83918
ISSN
2015 Impact Factor: 0.933
2015 SCImago Journal Rankings: 0.590
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, SHWen_HK
dc.contributor.authorYuen, APWen_HK
dc.contributor.authorCheung, Cen_HK
dc.contributor.authorWei, WIen_HK
dc.contributor.authorLam, LKen_HK
dc.date.accessioned2010-09-06T08:46:46Z-
dc.date.available2010-09-06T08:46:46Z-
dc.date.issued1997en_HK
dc.identifier.citationAmerican Journal Of Otolaryngology - Head And Neck Medicine And Surgery, 1997, v. 18 n. 2, p. 94-98en_HK
dc.identifier.issn0196-0709en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83918-
dc.description.abstractPurpose: Prosthetic voice restoration is an increasingly popular method of postlaryngectomy voice rehabilitation. Despite its success in non-tonal languages, the efficacy of tracheoesophageal speech in tonal languages was largely unknown. The aim of the present study was to evaluate the long-term results of voice rehabilitation using a Blom-Singer valve (BSV) in the tonal language of Cantonese. Patients and Methods: The records of 159 patients who underwent total laryngectomy and primary tracheoesophageal puncture (TEP) between May 1985 and December 1994 were retrospectively reviewed. Tracheoesophageal speech was regarded as functional if effective communication could be made during face-to-face conversation and telephone conversation. Any TEP-related complications were noted. Perioperative factors that might contribute to nonfunctional speech were subjected to statistical analysis. Results: Six hospital mortalities were excluded from speech analysis. Of the remaining 153 patients, the median follow-up was 25 months, ranging from 3 to 113 months. Seventy-three patients had closure of tracheoesophageal fistulae (TEF), and the main causes were ineffective voice production, dislodgment, and tracheostomal stenosis. Only 15 of them acquired functional speech before closure. The other 80 patients used a BSV as the chief modality of voice rehabilitation, with functional results achieved in 64 patients. None of the perioperative factors were found to be statistically significant in relation to nonfunctional speech. Conclusion: Primary TEP is an established method of voice rehabilitation after total laryngectomy. In our series, 52% patients achieved functional tracheoesophageal speech using a BSV.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/amjotoen_HK
dc.relation.ispartofAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgeryen_HK
dc.titleLong-term results of voice rehabilitation after total laryngectomy using primary tracheoesophageal puncture in Chinese patientsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0196-0709&volume=18&spage=94&epage=98&date=1997&atitle=Long+term+results+of+voice+rehabilitation+after+total+laryngectomy+using+primary+tracheoesophageal+puncture+in+Chineseen_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0196-0709(97)90094-6en_HK
dc.identifier.pmid9074732en_HK
dc.identifier.scopuseid_2-s2.0-0030937190en_HK
dc.identifier.hkuros23898en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030937190&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume18en_HK
dc.identifier.issue2en_HK
dc.identifier.spage94en_HK
dc.identifier.epage98en_HK
dc.identifier.isiWOS:A1997WN50900003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridWong, SHW=13302920800en_HK
dc.identifier.scopusauthoridYuen, APW=7006290111en_HK
dc.identifier.scopusauthoridCheung, C=7202061762en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridLam, LK=7201984637en_HK

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