Videostroboscopic Evaluation of Neoglottis in Alaryngeal Patients after Tracheoesophageal Voice Reconstruction without Prosthesis

Authors

  • Jeanne O. Madrid Department of Otorhinolaryngology-Head and Neck Surgery Veterans Memorial Medical Center
  • Celso V. Ureta Department of Otorhinolaryngology-Head and Neck Surgery Veterans Memorial Medical Center; Department of Otorhinolaryngology-Head and Neck Surgery Manila Central University – Filemon D. Tanchoco Medical Foundation (MCU-FDTMF)

DOI:

https://doi.org/10.32412/pjohns.v24i2.677

Keywords:

larynx, total laryngectomy, voice reconstruction, tracheoesophageal (te) fistula speech, alaryngeal voice, videostrobe

Abstract

Objective:  To investigate by means of videostoboscopy the characteristics of the neoglottis after total laryngectomy with primary or secondary voice reconstruction using a non-prosthetic tracheoesophageal fistula technique

Methods:       

Design: Cross-Sectional Study

Setting: Tertiary Public Hospital       

Subjects: Twenty alaryngeal patients

Results:  Videostroboscopy enabled evaluation of the neoglottis in all but two patients with a pectoralis major myocutaneous flap reconstruction of the pharyngoesophageal segment. Pooling of saliva was present in the cranial neoglottic opening in all subjects, but obscured visualization in these two. A circular neoglottic shape was most commonly seen.  Vibration of the neoglottis was noted in 90% of all alaryngeal patients and was associated with a regular mucosal wave.  Pharyngoesophageal vibration was noted in two thirds of patients.  It was associated with a strong mucosal wave, regular vibration and a longer open phase.

Conclusion: Videostroboscopy confirmed that neoglottic vibration accompanies sound production while pharyngoesophageal vibration may reinforce and enhance voice production in alaryngeal patients with non-prosthetic TE voice reconstruction. 

 

Keywords:  larynx, total laryngectomy, voice reconstruction, tracheoesophageal (te) fistula speech, alaryngeal voice, alaryngeal speech, videostrobe

 

 

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Published

2009-11-29

How to Cite

1.
Madrid JO, Ureta CV. Videostroboscopic Evaluation of Neoglottis in Alaryngeal Patients after Tracheoesophageal Voice Reconstruction without Prosthesis. Philipp J Otolaryngol Head Neck Surg [Internet]. 2009 Nov. 29 [cited 2024 Jun. 23];24(2):14-8. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/677

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