title: [Esophageal voice: a critical analysis of the results obtained by different rehabilitative technics].
abstract: In order to evaluate the phonatory results obtained with the use of tracheoesophageal prostheses, 38 laryngectomees were examined, 20 of which underwent erigmophonic voice rehabilitation while the other 18 were rehabilitated with the application of a prosthesis. In all cases electroglottography and spectrography of the voice were performed. In the erigmophonic-voice subjects, electroglottography gave a normal glottic wave while spectrography gave a tracing with frequent interruptions, scarce harmonics, altered by the presence of background noises. In the tracheoesophageal prosthesis patients, the electroglottogram showed regular hypopharynx vibratory activity while the spectrogram appeared free of interruptions activity while the spectrogram appeared free of interruptions and presented a uniform distributions and presented a uniform distribution of suffixes. The data obtained demonstrate that better results are obtained with the use of tracheoesophageal prosthesis as it allows the exhaled air to be used in phonation and thus respects respiratory dynamics and pneumophonic synergism. It also makes it possible to achieve a clear, fluent voice. Furthermore, the results obtained with patients with this prosthesis were constantly satisfactory when the long exercises required were performed.
authors.affiliation: Istituto di Patologia e Clinica Otorinolaringoiatrica e di Foniatria, II Facoltà di Medicina e Chirurgia dell'Università di Napoli.
authors.forename: U
authors.initials: U
authors.lastname: Cesari
authors.forename: L
authors.initials: L
authors.lastname: Russo
authors.forename: D
authors.initials: D
authors.lastname: Gentile
mesh_terms: D004594:Electrophysiology; D005069:Evaluation Studies as Topic; D005931:Glottis / Q000503:physiopathology; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D007831:Larynx, Artificial; D010699:Phonation; D013018:Sound Spectrography; D013070:Speech Therapy; D013072:Speech, Esophageal / Q000379:methods*
vernacular_title: La voce esofagea: analisi critica dei risultati ottenuti con varie tecniche riabilitative.