Oesophageal function in tracheoesophageal fistula speakers after laryngectomy.
J Laryngol Otol
; 123(6): 666-72, 2009 Jun.
Article
en En
| MEDLINE
| ID: mdl-18845037
ABSTRACT
OBJECTIVES:
Patients who have undergone tracheoesophageal puncture for surgical voice restoration often use unnaturally high oesophageal air pressures during speech. This study examined the effect of high oesophageal air pressure on oesophageal body motility, lower oesophageal sphincter function and dyspeptic symptoms.DESIGN:
Cross-sectional study using several investigative tests of oesophageal function. MATERIALS ANDMETHODS:
Sixteen patients who used tracheoesophageal fistula speech underwent several investigations, including oesophageal manometry, videofluoroscopy, barium swallow, and tracheal pressure measurements during speech. The patients were also asked to complete a dyspepsia questionnaire.RESULTS:
We demonstrated that more than 50 per cent of these patients had subjective or objective disordered oesophageal function. Videofluoroscopy and manometry identified oesophageal dysmotility in the same patients.CONCLUSION:
Oesophageal function appears to be altered by tracheoesophageal fistula speech. However, our study showed that there is no contraindication to proceeding with tracheoesophageal fistula voicing even in patients with a history of oesophageal dysfunction.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Voz Esofágica
/
Tráquea
/
Trastornos de la Motilidad Esofágica
/
Esófago
/
Laringectomía
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Año:
2009
Tipo del documento:
Article