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Related Concept Videos

Larynx01:21

Larynx

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The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Related Experiment Video

Updated: Mar 6, 2026

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

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Voice outcomes post total laryngectomy.

Anne Hurren1, Nick Miller

  • 1aSpeech and Language Sciences, Leeds Beckett University, Leeds bInstitute of Health and Society, Speech and Language Sciences, Newcastle University, Newcastle upon Tyne, UK.

Current Opinion in Otolaryngology & Head and Neck Surgery
|March 18, 2017
PubMed
Summary
This summary is machine-generated.

Optimal voice outcome measures for alaryngeal speech are unclear. Preliminary evidence supports the SToPS tool for auditory-perceptual assessment and the Self-Evaluation of Communication Experiences after Laryngectomy for self-report.

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Area of Science:

  • Speech-language pathology
  • Otolaryngology
  • Voice rehabilitation

Background:

  • Optimal laryngeal voice outcome measures are established.
  • Equivalent assessments for alaryngeal voice are lacking.
  • This knowledge gap hinders research, audit, and clinical practice for laryngectomy patients.

Purpose of the Study:

  • To review and identify optimal voice outcome measures for alaryngeal speech.
  • To guide clinicians in selecting appropriate tools for research and practice.
  • To address the limited knowledge in laryngectomy rehabilitation.

Main Methods:

  • Review of current evidence on alaryngeal voice outcome measures.
  • Evaluation of acoustic, auditory-perceptual, and self-report tools.
  • Assessment of validity, reliability, and clinical utility of existing measures.

Main Results:

  • No evidence supports the validity of acoustic instrumental measures.
  • Preliminary data suggest validity for the SToPS (Speech Поэтому и Тracheoesophageal voice Протокол Самооценки) auditory-perceptual tool.
  • The Self-Evaluation of Communication Experiences after Laryngectomy (SECEL) shows the most evidence for validity, reliability, and utility among self-rating tools.
  • Patient self-reports may not align with professional or naive judgments.

Conclusions:

  • Further research is required to establish optimal alaryngeal voice outcome measures.
  • Future studies should include real-life communication assessments beyond laboratory recordings.