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Related Experiment Videos

Tracheoesophageal speech in a developing world community.

Johannes J Fagan1, Roslyn Lentin, Manuel F Oyarzabal

  • 1Department of Otolaryngology, University of Cape Town School of Medicine, Groote Schuur Hospital, Observatory, Cape Town 7925, South Africa. fagan@iafrica.com

Archives of Otolaryngology--Head & Neck Surgery
|January 12, 2002
PubMed
Summary

Tracheoesophageal speech outcomes in a Third World setting are comparable to developed nations. Factors like literacy and housing impact speech, but most laryngectomy patients can achieve useful voice with fistula speech. Voice prosthesis longevity is also detailed.

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Area of Science:

  • Otolaryngology
  • Speech-Language Pathology
  • Public Health

Background:

  • Total laryngectomy necessitates alternative speech methods.
  • Tracheoesophageal speech (TES) is a common post-laryngectomy rehabilitation technique.
  • Evaluating TES in diverse socioeconomic settings is crucial for equitable healthcare.

Purpose of the Study:

  • Assess TES outcomes in a Third World medical practice.
  • Examine the influence of socioeconomic status, literacy, and service proximity on TES.
  • Determine patient selection criteria and voice prosthesis guidelines for TES.

Main Methods:

  • Retrospective analysis of 97 patients undergoing total laryngectomy.
  • Patients had primary tracheoesophageal fistula creation for speech.

Related Experiment Videos

  • Speech outcomes analyzed against social class, literacy, and proximity to specialists.

    • Main Results:

    • 81% of patients achieved useful tracheoesophageal speech.
    • Speech outcomes were not significantly affected by employment or proximity to services.
    • Literacy and housing influenced speech, but good outcomes were achieved even by illiterate patients.

    Conclusions:

    • Tracheoesophageal speech results in a Third World setting are comparable to developed countries.
    • All laryngectomy patients with adequate manual dexterity and cognitive function should attempt fistula speech.
    • Removable voice prostheses demonstrated effective use as indwelling devices.