FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1863347056> ?p ?o ?g. }

• W1863347056 abstract "Individuals who undergo laryngectomy, surgical removal of the larynx, loose their normal voice. The breathing pattern is altered to permanent tracheostomal breathing. A new voice can be established by use of a segment in the lower part of the pharynx and the most upper part of the esophagus, the pharyngo-esophageal (PE) segment. This is the voice source in tracheoesophageal (TE) speech and esophageal (E) speech. Electrolaryngeal (EL) speech is an alternative speaking technique. The overall aim of this thesis was to describe the function and the effects of the PEsegment with the use of endoscopic and radiological methods, to make acoustical and audio-perceptual analyses of laryngectomees’ voice and speech, and to investigate the laryngectomees’ self-evaluations of voice function and quality of life. Fifty-four laryngectomees participated in the four studies, all in all 45 TE-speakers, four E-speakers and five EL-speakers. The function of the PE-segment was studied with high-speed imaging recordings and videoradiography. Analyses were made of the vibratory pattern, the shape, the placement and the size of the PE-segment. Recorded speech samples were perceptually and acoustically analysed. Voice problems were evaluated by the use of Voice Handicap Index (VHI) and health-related quality of life was investigated by use of questionnaires from the European Organization for Research and Treatment of Cancer (EORTC). Volitional control of the musculature in the PE-segment was seen in high-speed imaging recordings (study I). In voiceless consonants the vibrations ceased and an opening gesture in the PE-segment was observed during closure duration. In voiced consonants, the vibrations in the PE-segment continued, although with decreased amplitude compared to the surrounding vowels. These findings should be useful in a therapeutic intervention regarding the coordination of phonation and articulation. Videoradiographical analyses of changes in shape, size and placement of the PEsegment showed predominant placement of the segment in the pharyngeal posterior wall (study II). The physiological measurements of the PE-segment showed interindividual variations during both phonation and silence. Both TEand E-speakers were able to make a good closure between the segment and the anterior wall of the pharynx during phonation. Placement of the segment in relation to the cervical column varied from C4 to C7. There were no significant relationships between radiological measurements of the PE-segment, perceptual analyses of voice quality, and acoustical measurements of fundamental frequency and voice intensity. In study IV, mean values of fundamental frequency and voice intensity for TE-speakers were close to normative data, however with wide inter-speaker ranges. Speaking rate for many of the TE-speakers was slow, phrase lengths were short and the percent pause time was high, likely due to deviant breath control and manual stoma occlusion. Protocols using visual analogue scales for perceptual ratings of TE-speech and voice proved to be reliable for carefully designed speech-language pathologist ratings. Low pitch, deviant voice quality, low speaking rates and short phrase lengths affected assessments of overall degree of deviation, and these parameters were significantly related to the perceptual assessments. The functional and physical subscales of VHI showed significant relationship with voice intensity, total reading time, phrase length and percent pause time. The emotional subscale of VHI showed no relation with acoustical measurements. Perceptual assessments of TE-speech and voice showed no relationship with the speakers’ self-reported voice handicap. In study III, self-reported voice handicap was moderate for more than 50 percent of the patient group. About one third of the group rated their voice handicap as severe. Scores for the physical and functional subscales of VHI were somewhat higher compared to the emotional scale. Ratings on the functional scales in the EORTC-questionnaire showed mean scores in agreement with normative data. The Global quality of life-scale (Global QOL) showed considerably lower scores as compared to normative data. The EORTCquestionnaire also revealed problems with smell and taste, speech, coughing, and xerostomia. Voice handicap scores showed significant relationship with the participants’ scoring of Global QOL and the functional scales in the EORTC-questionnaire. VHIscores were also significantly related to EORTC-scores regarding breathing problems, problems with speech, social contact, pain from the head and neck area, smell and taste, and meal situations. These relationships confirm that the perceived degree of voice handicap affects the laryngectomee’s participation in social activities. As a conclusion, a combination of the EORTC-questionnaire and the VHIquestionnaire is recommended. Additional questions on tracheostomal breathing, mucus production and coughing is needed for a complete documentation of handicap and health-related quality of life for laryngectomees." @default.
• W1863347056 created "2016-06-24" @default.
• W1863347056 creator A5079068989 @default.
• W1863347056 date "2009-01-23" @default.
• W1863347056 modified "2023-09-23" @default.
• W1863347056 title "Voice function and quality of life in laryngectomees" @default.
• W1863347056 cites W1492157159 @default.
• W1863347056 cites W1505035441 @default.
• W1863347056 cites W1536690700 @default.
• W1863347056 cites W1562705272 @default.
• W1863347056 cites W161177627 @default.
• W1863347056 cites W1854220427 @default.
• W1863347056 cites W1936400760 @default.
• W1863347056 cites W1965570084 @default.
• W1863347056 cites W1966172492 @default.
• W1863347056 cites W1968165262 @default.
• W1863347056 cites W1971224918 @default.
• W1863347056 cites W1972069930 @default.
• W1863347056 cites W1973812902 @default.
• W1863347056 cites W1974670546 @default.
• W1863347056 cites W1974833358 @default.
• W1863347056 cites W1978371922 @default.
• W1863347056 cites W1978927746 @default.
• W1863347056 cites W1980311540 @default.
• W1863347056 cites W1981458889 @default.
• W1863347056 cites W1982968594 @default.
• W1863347056 cites W1984198368 @default.
• W1863347056 cites W1985200764 @default.
• W1863347056 cites W1987480300 @default.
• W1863347056 cites W1989514522 @default.
• W1863347056 cites W1990144753 @default.
• W1863347056 cites W1993965079 @default.
• W1863347056 cites W2009250109 @default.
• W1863347056 cites W2009805410 @default.
• W1863347056 cites W2010729037 @default.
• W1863347056 cites W2012122078 @default.
• W1863347056 cites W2014323122 @default.
• W1863347056 cites W2020602359 @default.
• W1863347056 cites W2025824972 @default.
• W1863347056 cites W2026073016 @default.
• W1863347056 cites W2027367352 @default.
• W1863347056 cites W2029108392 @default.
• W1863347056 cites W2034469660 @default.
• W1863347056 cites W2035448359 @default.
• W1863347056 cites W2037335284 @default.
• W1863347056 cites W2037377025 @default.
• W1863347056 cites W2040856182 @default.
• W1863347056 cites W2045035588 @default.
• W1863347056 cites W2046687884 @default.
• W1863347056 cites W2047844263 @default.
• W1863347056 cites W2048043634 @default.
• W1863347056 cites W2053980533 @default.
• W1863347056 cites W2054324381 @default.
• W1863347056 cites W2059331938 @default.
• W1863347056 cites W2061227085 @default.
• W1863347056 cites W2062923610 @default.
• W1863347056 cites W2065655591 @default.
• W1863347056 cites W2070173926 @default.
• W1863347056 cites W2073468118 @default.
• W1863347056 cites W2074540163 @default.
• W1863347056 cites W2074898776 @default.
• W1863347056 cites W2076328394 @default.
• W1863347056 cites W2076452897 @default.
• W1863347056 cites W2080522358 @default.
• W1863347056 cites W2080685923 @default.
• W1863347056 cites W2083958640 @default.
• W1863347056 cites W2084792464 @default.
• W1863347056 cites W2085474046 @default.
• W1863347056 cites W2087558025 @default.
• W1863347056 cites W2091648699 @default.
• W1863347056 cites W2092087937 @default.
• W1863347056 cites W2092690370 @default.
• W1863347056 cites W2098955758 @default.
• W1863347056 cites W2100961085 @default.
• W1863347056 cites W2105258029 @default.
• W1863347056 cites W2107249333 @default.
• W1863347056 cites W2107463627 @default.
• W1863347056 cites W2107497809 @default.
• W1863347056 cites W2107672719 @default.
• W1863347056 cites W2108707585 @default.
• W1863347056 cites W2109539560 @default.
• W1863347056 cites W2111441675 @default.
• W1863347056 cites W2119196776 @default.
• W1863347056 cites W2119717019 @default.
• W1863347056 cites W2126119811 @default.
• W1863347056 cites W2133223092 @default.
• W1863347056 cites W2133374655 @default.
• W1863347056 cites W2135743816 @default.
• W1863347056 cites W2136705736 @default.
• W1863347056 cites W2136897611 @default.
• W1863347056 cites W2137121399 @default.
• W1863347056 cites W2138785837 @default.
• W1863347056 cites W2144396944 @default.
• W1863347056 cites W2144513477 @default.
• W1863347056 cites W2145255395 @default.
• W1863347056 cites W2150564966 @default.
• W1863347056 cites W2161217279 @default.
• W1863347056 cites W2165400828 @default.
• W1863347056 cites W2165781519 @default.
• W1863347056 cites W2167571044 @default.

• next