Computerized manometry use to evaluate spasm in pharyngoesophageal segment in patients with poor tracheoesophageal speech before and after treatment with botulinum toxin Summary
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Computerized manometry use to evaluate spasm in pharyngoesophageal segment in patients with poor tracheoesophageal speech before and after treatment with botulinum toxin.
UNLABELLED Tracheoesophageal voice (TEV) with voice prosthesis (VP) is an efficient and reproducible method used in vocal rehabilitation after total laryngectomy (TL), prevented by spasms in the pharyngoesophageal segment (PES). Computerized Manometry (CM) is a new, direct and objective method used to assess the PES. AIM to carry out an objective analysis of the PES, with CM, before and after...
متن کاملUltrasound-guided botulinum toxin injection: A simple in-office technique to improve tracheoesophageal speech in postlaryngectomy patients.
BACKGROUND Pharyngoesophageal spasm is a known entity to cause hypertonic/failed tracheoesophageal speech and is successfully treated by botulinum toxin A injection. However, success of botulinum toxin treatment is based on the accurate localization of the pharyngoesophageal segment. METHODS A 65-year-old man who had a laryngectomy using voice prosthesis with hypertonic speech underwent ultra...
متن کاملVideofluoroscopic-guided botulinum toxin injections for pharyngoesophageal spasm after total laryngectomy.
INTRODUCTION After total laryngectomy (TL), three methods of speech production are commonly available: esophageal, artificial (i.e., electrolarynx or equivalent), and tracheoesophageal puncture (TEP) voice. TEP is a highly successful voice restoration method for the majority of TL patients and allows for the production of intelligible, more natural sounding and fluent alaryngeal speech. Althoug...
متن کاملBotulinum toxin in speech rehabilitation with voice prosthesis after total laryngectomy.
UNLABELLED In tracheo esophageal puncture (TEP), we carry out a myotomy of the pharynx constrictor muscle; however, about 9 to 79% of patients need such procedure. The consequence of such procedure is an increase in salivary fistula rates in the postoperative. Botulin toxin is used in an outpatient basis. AIM analyzing the efficacy of botulin toxin (BT) use in the rehabilitation of totally la...
متن کاملBotulinum toxin injection of the cricopharyngeus muscle for the treatment of dysphagia.
OBJECTIVE This study was conducted to evaluate, subjectively and objectively, the diagnostic and therapeutic effects of botulinum toxin (Botox) in patients with dysphagia caused by cricopharyngeus (CP) muscle spasm and/or hypertonicity. METHODS A retrospective chart review was done of 5 patients with normally functioning larynges treated with CP Botox injection for dysphagia caused by perceiv...
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