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Use of a portable manometer as a screening procedure in voice rehabilitation

Published online by Cambridge University Press:  29 June 2007

D. W. Morgan ,
J. Hadley ,
G. Willis  and
A. D. Cheesman
D. W. Morgan*
Affiliation:
London
J. Hadley
Affiliation:
London
G. Willis
Affiliation:
London
A. D. Cheesman
Affiliation:
London
*
Mr D. W. Morgan, East Birmingham Hospital, Bordesley Green East, Birmingham B9 5ST.
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Abstract

Abnormal tone in the pharyngo-oesophageal (PO) segment may lead to failure in developing oesophageal speech. Videofluoroscopy may give a qualitative assessment of the PO segment but is expensive, time consuming and lacks quantification. A custom built PO segment manometer was therefore assessed as a means of predicting eventual oesophageal speech outcome. Two groups of patientswere studied. In group 1(18 patients) the PO segment pressures were compared to their videofluoroscopy findings. Videofluoroscopy categorized the patients into four groups. The PO pressurescorresponded to this grouping, pressures above 20 mmHg being associated with voice failure. Ingroup 2 (12 patients) the PO pressures in the early post-operative period were compared to their eventual speech outcome. In all cases the pressures predicted the eventual speech outcome. The pressure manometer is a simple, cheap and portable device which is a reliable screening testto predict the potential for oesophageal speech.

Keywords

Speech, esophagealLaryngectomyManometry
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 4 , April 1992 , pp. 353 - 355
Copyright
Copyright © JLO (1984) Limited 1992

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