Search results for "Tracheoesophageal Puncture"

showing 3 items of 3 documents

Surgical voice restoration after total laryngectomy: long-term results.

2002

Tracheoesophageal puncture (TEP) with a voice prosthesis has been the preferred treatment for speech rehabilitation of total laryngectomies at the Dr. Peset Hospital since 1984. This study reviews 350 consecutive patients over a 15-year period. There were 334 patients with primary and 16 with secondary TEP. Long-term tracheoesophageal speech was achieved in approximately 70% ¶of our patients. Problems related to or affecting TEP for voice restoration were studied. The different types of problems identified occurred in proportions ranging from 0.6% to 18%. Most of them were easily managed, but problems such as salivary leakage and dislodging of the prosthesis led to tracheoesophageal tract c…

LarynxAdultMalemedicine.medical_specialtymedicine.medical_treatmentLaryngectomyProsthesisPhonationmedicineHumansAgedRetrospective StudiesRehabilitationVoice Disordersbusiness.industryGeneral MedicineMiddle AgedVoice prosthesisSurgeryLaryngectomymedicine.anatomical_structureTreatment OutcomeOtorhinolaryngologyOtorhinolaryngologyNeurosurgerybusinessLarynx ArtificialTracheoesophageal PunctureFollow-Up StudiesEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
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Post laryngectomy speech rehabilitation outcome in elderly patients

2013

The aim of our work has been to evaluate the different options of tracheoesophageal voice rehabilitation in over 70-year-old patients, who had undergone laryngectomy, assessing advantages and drawbacks of this method of vocal recovery. A retrospective study has been carried out. This has included 40 subjects, all aged more than 70 years old, who have been referred to tracheoesophageal voice rehabilitation. It has been realized a phonatory fistula between trachea and esophagus with prosthesis positioning by means of a primary puncture in 18 cases and it has been realized a secondary puncture in 22 cases. The results gathered in these patients were compared with data obtained from a group mad…

Malemedicine.medical_specialtyFistulamedicine.medical_treatmentPunctureslaryngectomy; aged; laryngeal prosthesisSpeech TherapyProsthesisSurgical FlapsAlaryngeal speechPostoperative ComplicationsLaryngectomy Alaryngeal speech Laryngeal prosthesis Aged OutcomemedicineHumanslaryngeal prosthesislaryngectomyRetrospective StudiesAged 80 and overRehabilitationbusiness.industryRetrospective cohort studyGeneral Medicinemedicine.diseaseSurgeryLaryngectomySpeech AlaryngealagedTreatment OutcomeOtorhinolaryngologyOtorhinolaryngologyCase-Control StudiesFemalebusinessLarynx ArtificialTracheoesophageal Puncture
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Speech rehabilitation during the first year after total laryngectomy

2012

Background Gaining a new voice is one of the major aims after total laryngectomy. The objective of this study was to describe the process and results of speech rehabilitation during the first year after surgery. Methods Speech intelligibility was measured 6 months (n = 273) and 1 year (n = 225) after total laryngectomy. Results Objective (23.4 to 47.5 points, p < .0001) and subjective (51.6 to 64.7 points, p < .0001) speech intelligibility improved between 6 months and 1 year after total laryngectomy. Patients who used tracheoesophageal puncture (TEP) had the best results in speech intelligibility 6 months and 1 year after total laryngectomy. In all, 12% of the patients who used TEP initial…

medicine.medical_specialtyRehabilitationbusiness.industrymedicine.medical_treatmentHead neckSpeech rehabilitationAudiologyVoice prosthesisLaryngectomyOtorhinolaryngologyotorhinolaryngologic diseasesmedicinebusinessProspective cohort studyTracheoesophageal PunctureHead &amp; Neck
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