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The difference of the training process of esophageal speech by the operation method: The comparison between total laryngectomy and total pharyngolaryngoesophagectomy Toru Kanda 1 , Akira Tanuma 1 , Tetsuro Onitsuka 2 , Masahiro Nakagawa 3 , Makiko Ando 4 , Tetsuya Tsuji 5 1Division of Rehabilitation Medicine, Shizuoka Cancer Center 2Division of Head and Neck Surgery, Shizuoka Cancer Center 3Division of Plastic & Reconstructive surgery, Shizuoka Cancer Center 4Department of Rehabilitation Medicine, Keio University Hospital 5Department of Rehabilitation Medicine, Keio University School of Medicine Keyword: 食道発声 , 喉頭全摘術 , 下咽頭喉頭頸部食道全摘術 , 食道発声習得率 , 食道発声習得期間 , esophageal speech , total laryngectomy , total pharyngolaryngoesophagectomy , acquisition rate of esophageal speech , period for acquiring esophageal speech pp.152-159
Published Date 2008/11/25
DOI https://doi.org/10.11477/mf.6001100172
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 Laryngectomy patients are often trained in esophageal speech by the patients' associations in Japan, therefore, there are few reports by speech-language-hearing therapists conducting long-term training in esophageal speech. In this study, we compared the training processes and consequences in two groups of patients with different types of operative method.

 Thirty-nine patients who had undergone surgery at Shizuoka Cancer Center were analyzed who had undergone either a total laryngectomy (TL) or a total pharyngolaryngoesophagectomy (TPLE) and received training in esophageal speech for more than four months. The results were as follows:①The acquisition rate of esophageal speech was 48% and 33% after TL and TPLE, respectively. ②Greetings and word level esophageal speech utterances were acquired within 2-3 months after TL and 10-11 months after TPLE. ③Those who acquired esophageal speech did not necessarily use it as the primary means of daily communication. This tendency was particularly true of TPLE patients. ④Regardless of the operative methods, not all patients were participating in the patients' association.

 In conclusion, acquiring esophageal speech is more difficult for TPLE patients than for TL patients. Therefore, we suggest that post TPLE esophageal speech training should be continued for a sufficiently extended period of time.


Copyright © 2008, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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