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Related Experiment Video

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Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
07:45

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Published on: December 1, 2023

Post-laryngectomy speech respiration patterns.

Cara E Stepp1, James T Heaton, Robert E Hillman

  • 1Center for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.

The Annals of Otology, Rhinology, and Laryngology
|September 6, 2008
PubMed
Summary
This summary is machine-generated.

Speech breathing patterns change after laryngectomy, with users inhaling during speech. These respiratory changes may help develop better electrolarynx (artificial voice) control systems.

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Area of Science:

  • Laryngology
  • Speech-Language Pathology
  • Biomedical Engineering

Background:

  • Total laryngectomy necessitates alternative communication methods.
  • Electrolarynx (EL) devices provide alaryngeal speech.
  • Understanding speech breathing in EL users is crucial for optimizing communication.

Purpose of the Study:

  • To investigate longitudinal changes in speech breathing patterns of electrolarynx users post-laryngectomy.
  • To explore the feasibility of using respiratory signals for controlling artificial voice sources.

Main Methods:

  • Prospective study of 6 individuals within 1-2 years post-laryngectomy and 8 individuals with longer-term laryngectomy.
  • Speech tasks (counting, days of the week) analyzed using inductance plethysmography.
  • Respiratory patterns during electrolarynx speech were recorded and analyzed.

Main Results:

  • All laryngectomy patients inhaled during speech, unlike normal speech production (exhalation only).
  • Longitudinal analysis revealed increased frequency of inhalation during speech over time post-laryngectomy.
  • Inhalation during speech was more pronounced in electrolarynx users compared to tracheoesophageal speech users.

Conclusions:

  • Speech breathing behaviors evolve after laryngectomy in electrolarynx users.
  • Respiratory signal analysis offers potential for developing more natural, physiologically controlled electrolarynx systems.