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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2005 June;164(3):191-4

language: English

A comparative analysis of speech in postlaryngectomised cases

Nagarkar A. N., Gupta A. K.

Department of Otolaryngology, Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India


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Aim. To study the efficacy of the voice prosthesis and compare the speech results with laryngectomised patients using esophageal speech.
Methods. Experimental design: a prospective study including patients who had undergone total laryngectomy between 1996 and 2003. Patients: thirty-five patients who had undergone total laryngectomy and were fitted with Provox voice prosthesis (N: 25) and those who had chosen esophageal speech as the mode of communication (N: 10) in the age range of 40-70 years. Measures: The speech sample was recorded for each participant and analyzed later for maximum phonation duration, rate of speech and overall speech intelligibility.
Results. TE speakers had better speech in terms of rate of speech and intelligibility as compared to esophageal speakers.
Conclusions. TE speech is a better post laryngectomy speech rehabilitation option.

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