Comparison of alaryngeal voice and speech

The aim of the research was to compare voice and speech in three groups of alaryngeal speakers: 1) patients using esophageal speech, 2) patients with electro-acoustical speech aids and 3) patients with voice prostheses. Acoustic analysis and pronunciation tests were used for the analysis. Acoustic analysis included fundamental frequency, maximum phonation time, jitter, shimmer and intensity. Pronunciation parameters were: phonetic block duration, number of syllables in a phonetic block, rate of speech, maximum number of syllables in a phonetic block and rate of articulation in a maximal phonetic block. Our results demonstrated the advantages of tracheoesophageal puncture with implantation of a voice prosthesis over the other two techniques of alaryngeal speech. Voice and pronunciation with voice prostheses were closer to normal in many parameters: fundamental frequency, maximum phonation time, jitter, shimmer, duration of a phonetic block, number of syllables in a phonetic block, rate of speech and rate of articulation in maximal phonetic block.

[1]  J. Dworkin,et al.  Vocal pathologies : diagnosis, treatment, and case studies , 1997 .

[2]  M. Singer,et al.  Selected acoustic features of tracheoesophageal, esophageal, and laryngeal speech. , 1984, Archives of otolaryngology.

[3]  S E Williams,et al.  Speaking proficiency variations according to method of alaryngeal voicing , 1987, The Laryngoscope.

[4]  J C Montague,et al.  Location of the Vibratory Segment in Tracheoesophageal Speakers , 1985, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[5]  J. Wouters,et al.  Acoustic analysis of tracheo-oesophageal versus oesophageal speech , 1994, The Journal of Laryngology & Otology.

[6]  A. Staffieri,et al.  Spectrographic differences between tracheal-esophageal and esophageal voice. , 1996, Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics.

[7]  M. Singer,et al.  An Endoscopic Technique for Restoration of Voice after Laryngectomy , 1980, The Annals of otology, rhinology, and laryngology.

[8]  J. Griffin,et al.  Esophageal insufflation and videofluoroscopy for evaluation of esophageal speech in laryngectomy patients: clinical implications. , 1991, Radiology.

[9]  M. Singer,et al.  A comparative acoustic study of normal, esophageal, and tracheoesophageal speech production. , 1984, The Journal of speech and hearing disorders.

[10]  C. O'brien,et al.  Videofluoroscopy of the pharyngoesophageal segment during tracheoesophageal and esophageal speech , 1992, Head & neck.

[11]  Michael A. Crary,et al.  Organic Voice Disorders: Assessment and Treatment , 1996 .

[12]  Frans J. M. Hilgers,et al.  Quantitative Videofluoroscopy: A New Evaluation Tool for Tracheoesophageal Voice Production , 2001 .

[13]  R. Gatenby,et al.  Esophageal speech: double-contrast evaluation of the pharyngo-esophageal segment. , 1985, Radiology.

[14]  M Bentzen,et al.  X-ray video-tape studies of laryngectomized patients , 1976, The Journal of Laryngology & Otology.

[15]  P. H. Damsté,et al.  Configuration of the neoglottis: an x-ray study. , 1969, Folia phoniatrica.

[16]  Damir Horga,et al.  Neki vremenski parametri govora u dnevnicima HTV-A , 2000 .

[17]  Mariano Rosique Arias,et al.  Acoustic Analysis of the Voice in Phonatory Fistuloplasty after Total Laryngectomy , 2000, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[18]  J Robbins,et al.  Acoustic differentiation of laryngeal, esophageal, and tracheoesophageal speech. , 1984, Journal of speech and hearing research.

[19]  F. Hilgers,et al.  Acoustical analysis and perceptual evaluation of tracheoesophageal prosthetic voice. , 1998, Journal of voice : official journal of the Voice Foundation.

[20]  Frank W Stafford,et al.  Current indications and complications of tracheoesophageal puncture for voice restoration after laryngectomy , 2003, Current opinion in otolaryngology & head and neck surgery.

[21]  Martin J. Ball,et al.  Voice Quality Measurement , 1999 .

[22]  U Eysholdt,et al.  High-speed digital imaging of neoglottic vibration after total laryngectomy. , 1999, Archives of otolaryngology--head & neck surgery.