Phonation Using the Tracheo-Esophageal Shunt after Total Laryngectomy A functional speech mechanism was created during laryngectomy in five patients. The method used involved construction of a shunt between the esophagus inferior to the superior esophageal constrictor and membranous portion of the trachea. Speech produced with the tracheo-esophageal shunt was highly intelligible and is functional after the nasal gastric ... Forum
Forum  |   August 01, 1973
Phonation Using the Tracheo-Esophageal Shunt after Total Laryngectomy
 
Author Notes
Article Information
Forum   |   August 01, 1973
Phonation Using the Tracheo-Esophageal Shunt after Total Laryngectomy
Journal of Speech and Hearing Disorders, August 1973, Vol. 38, 369-373. doi:10.1044/jshd.3803.369
History: Received January 15, 1973 , Accepted May 17, 1973
 
Journal of Speech and Hearing Disorders, August 1973, Vol. 38, 369-373. doi:10.1044/jshd.3803.369
History: Received January 15, 1973; Accepted May 17, 1973

A functional speech mechanism was created during laryngectomy in five patients. The method used involved construction of a shunt between the esophagus inferior to the superior esophageal constrictor and membranous portion of the trachea. Speech produced with the tracheo-esophageal shunt was highly intelligible and is functional after the nasal gastric tube is removed. Speech characteristics resemble closely those of superior esophageal speech. Pitch, intensity, and intelligibility were comparable to superior alaryngeal speech, and cinefluorographic analysis revealed that the pseudoglottis frequently used by esophageal speakers also was used by speakers with tracheo-esophageal shunts. Late stenosis has been the primary disadvantage; a new method to eliminate closure is being investigated. Since the tracheo-esophageal shunt can be used effectively in communication, further patient application and construction modifications are warranted.

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