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Novel voice prosthesis after total laryngectomy with laryngoplasty reconstruction
dc.contributor.authorFeng, Allen L.
dc.contributor.authorZenga, Joseph
dc.contributor.authorVarvares, Mark A.
dc.date.accessioned2021-04-06T02:15:01Z
dc.date.available2022-05-05 22:15:00en
dc.date.available2021-04-06T02:15:01Z
dc.date.issued2021-04
dc.identifier.citationFeng, Allen L.; Zenga, Joseph; Varvares, Mark A. (2021). "Novel voice prosthesis after total laryngectomy with laryngoplasty reconstruction." Head & Neck 43(4): 1321-1330.
dc.identifier.issn1043-3074
dc.identifier.issn1097-0347
dc.identifier.urihttps://hdl.handle.net/2027.42/167126
dc.description.abstractBackgroundAlthough many patients achieve serviceable speech after total laryngectomy (TL), others are limited by un‐naturally low pitch. We describe a cadaveric study to provide proof of concept for a novel voice prosthesis after TL with free tissue laryngoplasty.MethodsDevices were implanted into fresh frozen cadavers after TL and free tissue laryngoplasty. Phonation pressures were measured using a custom Blom‐Singer Manometer (InHealth Technologies, Carpinteria, CA) and acoustic files were analyzed using Praat, a speech analysis software.ResultsTwo fresh frozen cadavers were implanted with the voice prosthesis. Both prostheses demonstrated appropriate stenting of the laryngoplasty. Successful sound production was achieved after airflow generation at the proximal trachea. An average phonation pressure of 3.5 cmH2O (SD 1.7 cmH2O) was necessary to generate a sound intensity of 80.6 dB (SD 0.2 dB) at an average fundamental frequency of 299.5 Hz (SD 112.6 Hz).ConclusionsThe novel voice prosthesis described herein offers a feasible voice generation mechanism.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otherequipment design
dc.subject.otherfree tissue flaps
dc.subject.otherhead and neck neoplasms
dc.subject.otherlaryngoplasty
dc.subject.othertotal laryngectomy
dc.subject.otherdevice design
dc.titleNovel voice prosthesis after total laryngectomy with laryngoplasty reconstruction
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelOtolaryngology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167126/1/hed26592_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167126/2/hed26592.pdf
dc.identifier.doi10.1002/hed.26592
dc.identifier.sourceHead & Neck
dc.identifier.citedreferenceHagen R. Laryngoplasty with a radialis pedicle flap from the forearm: a surgical procedure for voice rehabilitation after total laryngectomy. Am J Otolaryngol. 1990; 11 ( 2 ): 85 ‐ 89.
dc.identifier.citedreferenceTakeshita TK, Zozolotto HC, Ricz H, Dantas RO, Aguiar‐Ricz L. Correlation between tracheoesophageal voice and speech and intraluminal pharyngoesophageal transition pressure. Pro Fono. 2010; 22 ( 4 ): 485 ‐ 490.
dc.identifier.citedreferenceQi Y, Weinberg B. Characteristics of voicing source waveforms produced by esophageal and tracheoesophageal speakers. J Speech Hear Res. 1995; 38 ( 3 ): 536 ‐ 548.
dc.identifier.citedreferencePruyn JF, de Jong PC, Bosman LJ, et al. Psychosocial aspects of head and neck cancer – a review of the literature. Clin Otolaryngol Allied Sci. 1986; 11 ( 6 ): 469 ‐ 474.
dc.identifier.citedreferenceVerkerke GJ, Thomson SL. Sound‐producing voice prostheses: 150 years of research. Annu Rev Biomed Eng. 2014; 16: 215 ‐ 245.
dc.identifier.citedreferenceGitomer SA, Hutcheson KA, Christianson BL, et al. Influence of timing, radiation, and reconstruction on complications and speech outcomes with tracheoesophageal puncture. Head Neck. 2016; 38 ( 12 ): 1765 ‐ 1771.
dc.identifier.citedreferenceBailey BJ, Griffiths CM, Everett R. An implanted electronic laryngeal prosthesis. Ann Otol Rhinol Laryngol. 1976; 85 (4 Pt 1): 472 ‐ 483.
dc.identifier.citedreferencePainter C, Kaiser T, Fredrickson JM, Karzon R. Human speech development for an implantable artificial larynx. Ann Otol Rhinol Laryngol. 1987; 96 ( 5 ): 573 ‐ 577.
dc.identifier.citedreferenceTack JW, Qiu Q, Schutte HK, et al. Clinical evaluation of a membrane‐based voice‐producing element for laryngectomized women. Head Neck. 2008; 30 ( 9 ): 1156 ‐ 1166.
dc.identifier.citedreferenceTack JW, Rakhorst G, van der Houwen EB, Mahieu HF, Verkerke GJ. In vitro evaluation of a double‐membrane‐based voice‐producing element for laryngectomized patients. Head Neck. 2007; 29 ( 7 ): 665 ‐ 674.
dc.identifier.citedreferencevan der Torn M, Verdonck‐de Leeuw IM, Festen JM, de Vries MP, Mahieu HF. Female‐pitched sound‐producing voice prostheses – initial experimental and clinical results. Eur Arch Otorhinolaryngol. 2001; 258 ( 8 ): 397 ‐ 405.
dc.identifier.citedreferencevan der Torn M, de Vries MP, Festen JM, Verdonck‐de Leeuw IM, Mahieu HF. Alternative voice after laryngectomy using a sound‐producing voice prosthesis. Laryngoscope. 2001; 111 ( 2 ): 336 ‐ 346.
dc.identifier.citedreferenceHagen R, Berning K, Korn M, Schon F. Voice prostheses with sound‐producing metal reed element – an experimental study and initial clinical results. Laryngorhinootologie. 1998; 77 ( 6 ): 312 ‐ 321.
dc.identifier.citedreferenceHackenberg S, Kleinsasser N, Scherzad A, Kraus F, Hagen R. Microvascular reconstruction of the larynx following total laryngectomy. Laryngorhinootologie. 2018; 97 ( 2 ): 100 ‐ 109.
dc.identifier.citedreferenceBoersma P. Praat, a system for doing phonetics by computer. Glot International. 2001; 5: 341 ‐ 345.
dc.identifier.citedreferenceBoersma P, Weenink D. Praat: doing phonetics by computer. http://www.fon.hum.uva.nl/praat/. Accessed May 7, 2020.
dc.identifier.citedreferenceHillenbrand J, Getty LA, Clark MJ, Wheeler K. Acoustic characteristics of American English vowels. J Acoust Soc Am. 1995; 97 (5 Pt 1): 3099 ‐ 3111.
dc.identifier.citedreferenceSouza FGR, Santos IC, Bergmann A, et al. Quality of life after total laryngectomy: impact of different vocal rehabilitation methods in a middle income country. Health Qual Life Outcomes. 2020; 18 ( 1 ): 92.
dc.identifier.citedreferenceChaves AD, Pernambuco Lde A, Balata PM, et al. Limits on quality of life in communication after total laryngectomy. Int Arch Otorhinolaryngol. 2012; 16 ( 4 ): 482 ‐ 491.
dc.identifier.citedreferenceDeschler DG, Doherty ET, Reed CG, Singer MI. Effects of sound pressure levels on fundamental frequency in tracheoesophageal speakers. Otolaryngol Head Neck Surg. 1999; 121 ( 1 ): 23 ‐ 26.
dc.identifier.citedreferenceSchindler A, Canale A, Cavalot AL, et al. Intensity and fundamental frequency control in tracheoesophageal voice. Acta Otorhinolaryngol Ital. 2005; 25 ( 4 ): 240 ‐ 244.
dc.identifier.citedreferencePepiot E. Male and female speech: a study of mean f0, f0 range, phonation type and speech rate in Parisian French and American English speakers. Speech Prosody; 2014; 7: 305 ‐ 309.
dc.identifier.citedreferencePepiot E. Processing female and male voices: a word spotting experiment. Percept Mot Skills. 2013; 117 ( 3 ): 903 ‐ 912.
dc.identifier.citedreferenceRobbins J, Fisher HB, Blom EC, Singer MI. A comparative acoustic study of normal, esophageal, and tracheoesophageal speech production. J Speech Hear Disord. 1984; 49 ( 2 ): 202 ‐ 210.
dc.identifier.citedreferenceWeir NF. Theodore Billroth: the first laryngectomy for cancer. J Laryngol Otol. 1973; 87 ( 12 ): 1161 ‐ 1169.
dc.identifier.citedreferenceAbsolon KB, Keshishian J. First laryngectomy for cancer as performed by Theodor Billroth on December 31, 1873: a hundred anniversary. Rev Surg. 1974; 31 ( 2 ): 65 ‐ 70.
dc.identifier.citedreferenceTang CG, Sinclair CF. Voice restoration after total laryngectomy. Otolaryngol Clin North Am. 2015; 48 ( 4 ): 687 ‐ 702.
dc.identifier.citedreferenceHillman RE, Walsh MJ, Wolf GT, Fisher SG, Hong WK. Functional outcomes following treatment for advanced laryngeal cancer. Part I – Voice preservation in advanced laryngeal cancer. Part II – Laryngectomy rehabilitation: the state of the art in the VA System. Research Speech‐Language Pathologists. Department of Veterans Affairs Laryngeal Cancer Study Group. Ann Otol Rhinol Laryngol Suppl. 1998; 172: 1 ‐ 27.
dc.identifier.citedreferenceConley JJ, Deamesti F, Pierce MK. A new surgical technique for the vocal rehabilitation of the laryngectomized patient. Ann Otol Rhinol Laryngol. 1958; 67 ( 3 ): 655 ‐ 664.
dc.identifier.citedreferenceSinger MI. The development of successful tracheoesophageal voice restoration. Otolaryngol Clin North Am. 2004; 37 ( 3 ): 507 ‐ 517.
dc.identifier.citedreferenceZenga J, Goldsmith T, Bunting G, Deschler DG. State of the art: rehabilitation of speech and swallowing after total laryngectomy. Oral Oncol. 2018; 86: 38 ‐ 47.
dc.identifier.citedreferenceLeBert B, McWhorter AJ, Kunduk M, et al. Secondary tracheoesophageal puncture with in‐office transnasal esophagoscopy. Archives of Otolaryngology – Head and Neck Surgery. 2009; 135 ( 12 ): 1190 ‐ 1194.
dc.identifier.citedreferenceTakeshita TK, Zozolotto HC, Ribeiro EA, et al. Relation between the dimensions and intraluminal pressure of the pharyngoesophageal segment and tracheoesophageal voice and speech proficiency. Head Neck. 2013; 35 ( 4 ): 500 ‐ 504.
dc.identifier.citedreferenceKrishnamurthy A, Khwajamohiuddin S. Analysis of factors affecting the longevity of voice prosthesis following total laryngectomy with a review of literature. Indian J Surg Oncol. 2018; 9 ( 1 ): 39 ‐ 45.
dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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