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voice_restoration_in_total_esophageal_stenosis_post_total_laryngectomy_and_radiation_therapy._a_case_for_tokyo_larynx [2014/03/18 20:43] (current)
bziolko created
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 +Krzysztof Izdebski and Rob Mickel (USA)
  
 +**Voice restoration in total esophageal stenosis post total laryngectomy and radiation therapy.  A case for Tokyo larynx**
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 +When surgery and radiation treatment compromise the upper esophagus in a post- totally laryngectomized patient, such a patient is deprived oral nutrition intake and can not receive tracheoesophageal puncture to restore phonation with an indwelling voice prosthesis. Injection speech cannot be acquired as well  A hard and woody neck surface precludes the use of a surface electrolarynx. One option is to use intraoral Cooper-Rand style electrolarynx, but typically this device produces speech of extremely low intelligibility. To provide excellent speech based on ventilatory and speech coded respiratory timing, we used “Tokyo-Larynx”, an ingenious device which uses pulmonary air to drive a rubberband-based buzz generator.  The resultant sound is directed in the retro-grade fashion, yet directly into the oral cavity. We show how this simple device produced nearly normal sounding speech in a case with severe post radiation esophageal stenosis.
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