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Differences in speaking proficiencies in three laryngectomee groups.

S E Williams, J B Watson

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |April 1, 1985
    PubMed
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    This study compared speaking proficiency in esophageal, electrolarynx, and tracheoesophageal puncture speakers. Results showed significant differences in voice quality, intelligibility, and overall effectiveness among these alaryngeal speech methods.

    Area of Science:

    • Speech-Language Pathology
    • Otolaryngology
    • Voice Rehabilitation

    Background:

    • Laryngeal cancer treatment often necessitates laryngectomy, impacting speech.
    • Various alaryngeal speech rehabilitation methods exist, including esophageal speech, electrolarynx use, and tracheoesophageal puncture speech.

    Purpose of the Study:

    • To compare the speaking proficiency of individuals using three distinct alaryngeal speech methods: esophageal, electrolarynx, and tracheoesophageal puncture.
    • To identify specific acoustic and functional variables that differentiate these speech methods.

    Main Methods:

    • Three groups of alaryngeal speakers (esophageal, electrolarynx, tracheoesophageal puncture) were videotaped during speech tasks.
    • Three independent judge groups with varying expertise on laryngectomees rated specific speaking variables.

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  • Multivariate analyses of variance were used to analyze rating differences.

    • Main Results:

    • Significant differences in voice quality, pitch, loudness, intelligibility, speaking rate, and overall communicative effectiveness were found among the three alaryngeal speech groups.
    • Judge expertise level influenced the perceived proficiency ratings of alaryngeal speakers.

    Conclusions:

    • The choice of alaryngeal speech method significantly impacts speaking proficiency across multiple domains.
    • Further research is needed to understand how judge expertise affects the evaluation of alaryngeal speech effectiveness.