Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/197854
Type: Artigo de periódico
Title: Botulinum Toxin In Speech Rehabilitation With Voice Prosthesis After Total Laryngectomy.
Author: Chone, Carlos Takahiro
Teixeira, Cristiane
Andreollo, Nelson A
Spina, Ana Lucia
Barcelllos, Irene H K
Quagliato, Elizabeth
Crespo, Agricio N
Abstract: 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. analyzing the efficacy of botulin toxin (BT) use in the rehabilitation of totally laryngectomized patients with tracheo-esophageal voice (TEV) with spasms (S) of the pharyngo-esophageal segment (PES) without myotomy. We analyzed eight patients submitted to total laryngectomy (TL), rehabilitated with TEV, with speech prosthesis (SP) and struggle to utter voice because of PES spasms. They were all submitted to treatment of such motor alteration with the injection of 100 units of BT in the PES. The evaluation was based on perceptive voice analysis, video fluoroscopy (VF) of the PES, acoustic voice analysis and computerized manometry (CM) of the PES, all before and after BT injection. prospective. There was a reduction in PES CM pressure after BT injection. Acoustic analysis showed an improvement in harmonics quality after treatment. There was smoother voice utterance and spasm improvement after BT. all patients with PES spasms presented vocal improvement after BT injection in the PES.
Subject: Anti-dyskinesia Agents
Botulinum Toxins
Esophageal Spasm, Diffuse
Esophagus
Humans
Laryngectomy
Larynx, Artificial
Pharynx
Phonation
Prospective Studies
Speech, Esophageal
Voice
Citation: Brazilian Journal Of Otorhinolaryngology. v. 74, n. 2, p. 230-4
Rights: aberto
Address: http://www.ncbi.nlm.nih.gov/pubmed/18568201
Appears in Collections:Unicamp - Artigos e Outros Documentos

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