An Objective Method for Prediction of Tracheoesophageal Speech Production Current methods of esophageal air insufflation testing to predict postoperative tracheoesophageal speech success lack procedural objectivity and rely on subjective interpretation of the voice production results. A range of intraesophageal pressure measurements was obtained prior to tracheoesophageal (TE) puncture in each of 27 laryngectomized patients in an attempt to predict ... Reports
Reports  |   August 01, 1987
An Objective Method for Prediction of Tracheoesophageal Speech Production
 
Author Notes
Article Information
Reports   |   August 01, 1987
An Objective Method for Prediction of Tracheoesophageal Speech Production
Journal of Speech and Hearing Disorders, August 1987, Vol. 52, 212-217. doi:10.1044/jshd.5203.212
History: Received March 6, 1986 , Accepted September 19, 1986
 
Journal of Speech and Hearing Disorders, August 1987, Vol. 52, 212-217. doi:10.1044/jshd.5203.212
History: Received March 6, 1986; Accepted September 19, 1986

Current methods of esophageal air insufflation testing to predict postoperative tracheoesophageal speech success lack procedural objectivity and rely on subjective interpretation of the voice production results. A range of intraesophageal pressure measurements was obtained prior to tracheoesophageal (TE) puncture in each of 27 laryngectomized patients in an attempt to predict TE speech outcome. Postoperatively, three levels of speech production were identified. Fluent speakers, nonfluent speakers, and nonspeakers demonstrated low, intermediate, and high intraesophageal pressures, respectively. Patients with intermediate and high preoperative pressures did not achieve fluent speech without myotomy. This technique offers a reliable, objective preoperative indication of expected TE speech fluency.

Order a Subscription
Pay Per View
Entire Journal of Speech and Hearing Disorders content & archive
24-hour access
This Article
24-hour access