Hostname: page-component-6766d58669-fx4k7 Total loading time: 0 Render date: 2026-05-19T23:20:56.145Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of a portable manometer as a screening procedure in voice rehabilitation

Published online by Cambridge University Press:  29 June 2007

D. W. Morgan ,
J. Hadley ,
G. Willis  and
A. D. Cheesman
D. W. Morgan*
Affiliation:
London
J. Hadley
Affiliation:
London
G. Willis
Affiliation:
London
A. D. Cheesman
Affiliation:
London
*
Mr D. W. Morgan, East Birmingham Hospital, Bordesley Green East, Birmingham B9 5ST.
Get access Rights & Permissions [Opens in a new window]

Abstract

Abnormal tone in the pharyngo-oesophageal (PO) segment may lead to failure in developing oesophageal speech. Videofluoroscopy may give a qualitative assessment of the PO segment but is expensive, time consuming and lacks quantification. A custom built PO segment manometer was therefore assessed as a means of predicting eventual oesophageal speech outcome. Two groups of patientswere studied. In group 1(18 patients) the PO segment pressures were compared to their videofluoroscopy findings. Videofluoroscopy categorized the patients into four groups. The PO pressurescorresponded to this grouping, pressures above 20 mmHg being associated with voice failure. Ingroup 2 (12 patients) the PO pressures in the early post-operative period were compared to their eventual speech outcome. In all cases the pressures predicted the eventual speech outcome. The pressure manometer is a simple, cheap and portable device which is a reliable screening testto predict the potential for oesophageal speech.

Keywords

Speech, esophagealLaryngectomyManometry

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 4 , April 1992 , pp. 353 - 355
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Baugh, R. F., Lewin, J. S., Baker, S. R. (1987) Preoperative assessment of tracheo-oesophageal speech. Laryngoscope, 97: 461–466.CrossRefGoogle Scholar
Baugh, R. R, Lewin, J. S., Baker, S. R. (1990) Vocal rehabilitation of tracheo-oesophageal speech failure. Journal of Otolaryngology, Head and Neck Surgery, 12: 69–73.Google Scholar
Cheesman, A. D., Knight, J., Mclvor, J., Perry, A. (1986) Tracheooesophageal puncture speech: anassessment technique for failed oesophageal speakers. Journal of Laryngology and Otology, 100: 191–199.CrossRefGoogle Scholar
Perry, A., Cheesman, A. D., Mclvor, J., Charlton, R. (1987) British experience of surgical voice restoration techniques as a secondary procedure following total laryngectomy. Journal of Laryngology and Otology, 101: 155–163.CrossRefGoogle ScholarPubMed
Singer, M. I., Blom, E. D., Hamaker, R. C. (1981) Further experience with voice restoration after total laryngectomy. Annals of Otology, Rhinology and Laryngology, 90: 498–502.CrossRefGoogle ScholarPubMed