caa a22 4500 606186034 CHVBK 20210128100834.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00405-015-3600-2 doi (NATIONALLICENCE)springer-10.1007/s00405-015-3600-2 Investigation of intra-esophageal air kinetics and esophageal sphincters in patients with total laryngectomy during esophageal speech [Elektronische Daten] [Aykut Bozan, Rukiye Vardar, Serdar Akyildiz, Tayfun Kirazli, Fatih Ogut, Esra Yildirim, Serhat Bor] The purpose of this study was to evaluate the air kinetics of well- and poor-speaking patients and their upper (UES) and lower (LES) esophageal sphincter pressures . The esophageal speech capability of 23 total laryngectomy patients was assessed with the Wepman scale. LES and UES points and pressures were measured, and air kinetics were compared. All patients were male, with an average age of 58years. Both the LES and UES pressures were not statistically different between good-speaking and poor-speaking patients (p>0.05). The ability to speak was estimated only by looking at tracings. Good speakers are able to retain air successfully and on a long-term basis between the upper and lower esophageal sphincters. During short and/or rapid speech, these patients are able to rapidly suck and then expel the air from their upper esophagus. During long speeches, after sucking the air into their distal esophagus, they used the air in the upper part of the esophagus during the speech, only later seeming to fill the lower esophagus with the air as a possible reserve in the stomach. It has been shown that the basic requirement for speaking is the capacity to suck and store the air within the esophagus. For successful speech, the air should be stored inside the esophagus. MII technology contributes to our understanding of speech kinetics and occupies an important place in patient training as a biofeedback technique. Springer-Verlag Berlin Heidelberg, 2015 Total laryngectomy nationallicence Esophageal speech nationallicence Multichannel intraluminal impedance nationallicence Upper esophageal sphincter nationallicence Esophageal manometry nationallicence Bozan Aykut Department of Otolaryngology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut Vardar Rukiye Section of Gastroenterology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut Akyildiz Serdar Department of Otolaryngology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut Kirazli Tayfun Department of Otolaryngology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut Ogut Fatih Department of Otolaryngology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut Yildirim Esra Section of Gastroenterology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut Bor Serhat Section of Gastroenterology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/8(2015-08-01), 1967-1972 0937-4477 272:8<1967 2015 272 405 https://doi.org/10.1007/s00405-015-3600-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-015-3600-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bozan Aykut Department of Otolaryngology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut NATIONALLICENCE 700 1- Vardar Rukiye Section of Gastroenterology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut NATIONALLICENCE 700 1- Akyildiz Serdar Department of Otolaryngology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut NATIONALLICENCE 700 1- Kirazli Tayfun Department of Otolaryngology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut NATIONALLICENCE 700 1- Ogut Fatih Department of Otolaryngology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut NATIONALLICENCE 700 1- Yildirim Esra Section of Gastroenterology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut NATIONALLICENCE 700 1- Bor Serhat Section of Gastroenterology, Ege Reflux Study Group, Ege University School of Medicine, 35040, Izmir, Turkey aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/8(2015-08-01), 1967-1972 0937-4477 272:8<1967 2015 272 405