Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-27T21:58:25.291Z Has data issue: false hasContentIssue false
  • English
  • Français

Complications of pharyngeal myotomy for alaryngeal voice rehabilitation

Published online by Cambridge University Press:  29 June 2007

P. M. J. Scott ,
N. R. Bleach ,
A. R. Perry  and
A. D. Cheesman
P. M. J. Scott*
Affiliation:
Departments of Speech Therapy, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London W6 8RF.
N. R. Bleach
Affiliation:
Departments of Speech Therapy, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London W6 8RF.
A. R. Perry
Affiliation:
Departments of Otolaryngology, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London W6 8RF.
A. D. Cheesman
Affiliation:
Departments of Speech Therapy, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London W6 8RF.
*
P. M. J. Scott, F.R.C.S., 11A Ellerslie Road, Shepherds Bush, London W12 7BN.
Get access Rights & Permissions [Opens in a new window]

Abstract

Over the eight-year period to May 1991,256 patients were referred for post-laryngectomy voice rehabilitation. Videofluoroscopy identified 81 (32 per cent) who required pharyngeal myotomy for a spastic pharyngooesophageal segment. Forty-two of these (37 male, 5 female and average age 63 years) had their surgery performed at this unit with a complication rate of 17 per cent and an average post-operative stay of 10 days (range 4–41 days). The place of the operation for pharyngeal myotomy in post-laryngectomy voice rehabilitation is discussed.

Keywords

Speech, alaryngealPharyngeal muscles, surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 5 , May 1993 , pp. 430 - 433
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Blom, E. D., Singer, M. I. (1980) An endoscopic technique for restoration of voice following laryngectomy. Annals of Otology, Rhinology and Laryngology 89: 526–533Google Scholar
Blom, E. D., Singer, M. I., Hamaker, R. C. (1981 a) Further experience with voice restoration after total laryngectomy. Annals of Otology, Rhinology and Laryngology 90: 498–502Google Scholar
Blom, E. D., Singer, M. I. (1981 b) Selective myotomy for voice restoration after total laryngectomy. Archives of Otolaryngology 107: 670–673Google Scholar
Blom, E. D., Singer, M. I., Haymaker, R. C. (1985) An improved esophageal insufflation test. Archives of Otolaryngology 111: 211–212CrossRefGoogle ScholarPubMed
Blom, E. D., Singer, M. I., Haymaker, R. C. (1986) Pharyngeal plexus neurectomy for alaryngeal speech rehabilitation. Laryngoscope 96: 50–53Google Scholar
Chodosh, P. L., Giancarlo, H. R., Goldstein, J. (1984) Pharyngeal myotomy for vocal rehabilitation post laryngectomy. Laryngoscope 94: 52–57CrossRefGoogle Scholar
Holinger, P. H. (1975) A century of progress of laryngectomies in the northern hemisphere. Laryngoscope 85: 322–332CrossRefGoogle ScholarPubMed
Jay, S., Ruddy, J., Cullen, R. J. (1991) Laryngectomy: the patient's view. Journal of Laryngology and Otology 105: 934–938.CrossRefGoogle ScholarPubMed
Johansen, L. V., Overgaard, J., Elbrond, O. (1988) Pharyngo-cutaneous fistulae after laryngectomy. Cancer 61: 673–6783.0.CO;2-C>CrossRefGoogle ScholarPubMed
Johnson, J. T., Yu, V. L. (1988) Antibiotic use during major head and neck surgery. Annals of Surgery 207: 108–111CrossRefGoogle ScholarPubMed
Kirchner, J. A., Scatliff, J. H., Dey, F. L., Shedd, D. P. (1963) The pharynx after laryngectomy. Laryngoscope 73: 18–33CrossRefGoogle ScholarPubMed
Lavelle, R. J., Maw, A. R. (1972) The aetiology of post-laryngectomy pharyngo-cutaneous fistulae. The Journal of Laryngology and Otology 86: 785–793CrossRefGoogle ScholarPubMed
Mclvor, J., Evans, P. F., Perry, A. D., Cheesman, A. D. (1990) Radiological assessment of post-laryngectomy speech. Clinical Radiology 41: 312–316CrossRefGoogle Scholar
Perry, A., Cheesman, A. D., Mclvor, J., Charlton, R. (1987) A British experience of surgical voice restoration techniques as a secondary procedure following total laryngectomy. The Journal of Laryngology and Otology 101: 155–163CrossRefGoogle ScholarPubMed
Perry, A. (1989) Voice rehabilitation after laryngectomy. Unpublished Ph.D. Thesis (CNAA).Google Scholar
Robin, P. E., Olofson, J. (1987) Tumours of the larynx. In Scott-Brown's Diseases of Ear, Nose and Throat. 4th Edition. (Stell, P. M., Kerr, A. G., eds.), Butterworths, London, pp 186–234.Google Scholar
Salmon, S. J. (1988) Factors predictive of success or failure in acquisition of oesophageal speech. Head and Neck Surgery (Supp II): 105–109.CrossRefGoogle Scholar
Winans, C. S., Elliot, J. R., Waldrop, W. F. (1974) Esophageal determinants of alaryngeal speech. Archives of Otolaryngology 99: 10–14CrossRefGoogle ScholarPubMed