Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Understandable Speech Is Possible After Removal of Tongue and Voice Box

10.08.2004


A surgical incision between the trachea and esophagus (tracheo-esophageal puncture) following removal of the tongue and voice box provides effective speech communication for select head and neck cancer patients who otherwise would not be able to speak.



Most treatments for tongue and voice box cancer allow patients to retain those organs and maintain speech communication. For those few patients whose cancers do not respond to organ-sparing techniques, surgical removal of the tongue (glossectomy) and voice box (laryngectomy) may be necessary. When the tongue and voice box are both removed, understandable speech communication becomes impossible, leading to a decline in the quality of life for the patient.

Now, researchers have developed an option that can restore understandable speech to this select patient group. After the total laryngectomy and glossectomy, a tracheoesophageal puncture (TEP), an incision between the trachea and esophagus that is fitted with a small plastic or silicone valve, is performed. With the help of post operative speech rehabilitation therapy, this procedure can provide understandable speech communication and improve quality of life. The authors of “Communication Rehabilitation for Patients with Head and Neck Cancer Following Total Laryngectomy with Total Glossectomy” are Daniel W. Karakla, MD, Ann Cyptar, MS, CCC-SLP, Nicole McIntyre, MD, and J. Trad Wadsworth, MD, all from the Department of Otolaryngology – Head & Neck Surgery, Eastern Virginia Medical School, Norfolk, VA. They will present their findings at the 6th International Conference on Head and Neck Cancer being held August 7-11, 2004, at the Wardman Park Marriott in Washington, DC.


Methodology: The retrospective study was conducted at two tertiary care referral centers for head and neck cancer and included two groups of patients. The first group consisted of four head and neck cancer patients who received a secondary TEP after being screened from a larger population of patients who underwent total laryngectomy (removal of voice box) and total glossectomy (removal of the tongue). Screening was done through counseling by the oncologic surgeon and speech and language pathologist to determine which patients would be most suitable for a TEP. The second group included five patients who received a TEP primarily (at the time of laryngectomy and glossectomy) and were retrospectively reviewed.

Both the patients and their families were surveyed to determine their level of satisfaction in speech intelligibility and swallowing after TEP and rehabilitation and at six month follow-up. Patients were also assessed by audiovisual tape during rehabilitation. All patients received post-operative speech rehabilitation therapy.

Results: All patients in the first group (secondary TEP) were satisfied with their speech intelligibility results. The range of achievable speech is demonstrated through review of the audiovisual tapes. The second group of patients (primary TEP) did not develop functional speech despite intensive speech therapy.

Conclusion: The results of this study indicate that secondary TEP can be a viable and important procedure following total laryngectomy with total glossectomy in carefully selected patients. In this subgroup of patients, secondary TEP can provide understandable speech, allowing improved quality of life for patients and their families.

Head and neck cancer remains a significant threat to the thousands of Americans of all ages who continue to use tobacco products and consume alcohol. New surgical and oncological treatments may successfully address the cancer; this study reminds us that new procedures are necessary to counter the negative consequences of any surgical treatment.

| newswise
Further information:
http://www.sic2004.org

More articles from Health and Medicine:

nachricht Antibiotic effective against drug-resistant bacteria in pediatric skin infections
17.02.2017 | University of California - San Diego

nachricht Tiny magnetic implant offers new drug delivery method
14.02.2017 | University of British Columbia

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Breakthrough with a chain of gold atoms

In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport

In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport

Im Focus: DNA repair: a new letter in the cell alphabet

Results reveal how discoveries may be hidden in scientific “blind spots”

Cells need to repair damaged DNA in our genes to prevent the development of cancer and other diseases. Our cells therefore activate and send “repair-proteins”...

Im Focus: Dresdner scientists print tomorrow’s world

The Fraunhofer IWS Dresden and Technische Universität Dresden inaugurated their jointly operated Center for Additive Manufacturing Dresden (AMCD) with a festive ceremony on February 7, 2017. Scientists from various disciplines perform research on materials, additive manufacturing processes and innovative technologies, which build up components in a layer by layer process. This technology opens up new horizons for component design and combinations of functions. For example during fabrication, electrical conductors and sensors are already able to be additively manufactured into components. They provide information about stress conditions of a product during operation.

The 3D-printing technology, or additive manufacturing as it is often called, has long made the step out of scientific research laboratories into industrial...

Im Focus: Mimicking nature's cellular architectures via 3-D printing

Research offers new level of control over the structure of 3-D printed materials

Nature does amazing things with limited design materials. Grass, for example, can support its own weight, resist strong wind loads, and recover after being...

Im Focus: Three Magnetic States for Each Hole

Nanometer-scale magnetic perforated grids could create new possibilities for computing. Together with international colleagues, scientists from the Helmholtz Zentrum Dresden-Rossendorf (HZDR) have shown how a cobalt grid can be reliably programmed at room temperature. In addition they discovered that for every hole ("antidot") three magnetic states can be configured. The results have been published in the journal "Scientific Reports".

Physicist Dr. Rantej Bali from the HZDR, together with scientists from Singapore and Australia, designed a special grid structure in a thin layer of cobalt in...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Booth and panel discussion – The Lindau Nobel Laureate Meetings at the AAAS 2017 Annual Meeting

13.02.2017 | Event News

Complex Loading versus Hidden Reserves

10.02.2017 | Event News

International Conference on Crystal Growth in Freiburg

09.02.2017 | Event News

 
Latest News

Biocompatible 3-D tracking system has potential to improve robot-assisted surgery

17.02.2017 | Medical Engineering

Real-time MRI analysis powered by supercomputers

17.02.2017 | Medical Engineering

Antibiotic effective against drug-resistant bacteria in pediatric skin infections

17.02.2017 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>