Vocal Quality of Decannulated Children Following Laryngeal Reconstruction
Laryngotracheal reconstruction with expansion surgery is a reliable method for treatment of laryngotracheal stenosis in children. It allows for decannulation of the patient and restoration of vocal communication. Previous information regarding vocal quality in these patients has been scant. Sixteen...
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| Veröffentlicht in: | The Laryngoscope 1991-04, Vol.101 (4), p.425-429 |
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| container_title | The Laryngoscope |
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| creator | Zalzal, George H. Loomis, Susan R. Derkay, Craig S. Murray, Sharon L. Thomsen, James |
| description | Laryngotracheal reconstruction with expansion surgery is a reliable method for treatment of laryngotracheal stenosis in children. It allows for decannulation of the patient and restoration of vocal communication. Previous information regarding vocal quality in these patients has been scant. Sixteen children who underwent successful laryngotracheal reconstruction were evaluated using a standardized voice assessment during each of the following: phoneme prolongation, counting, storytelling, and spontaneous conversation. Interjudge ratings were obtained to establish reliability. The location and severity of the laryngotracheal stenosis and the method of treatment were reviewed. Twelve children have a functional voice compared to six preoperatively. Overall, vocal parameters suggested a particular pattern consisting of a lower than optimal pitch and a restricted pitch range. Laryngotracheal reconstruction does make oral communication possible for children who would otherwise have persistent tracheotomy. However, vocal quality appears to be disturbed in most of the patients. |
| doi_str_mv | 10.1002/lary.1991.101.4.425 |
| format | Article |
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It allows for decannulation of the patient and restoration of vocal communication. Previous information regarding vocal quality in these patients has been scant. Sixteen children who underwent successful laryngotracheal reconstruction were evaluated using a standardized voice assessment during each of the following: phoneme prolongation, counting, storytelling, and spontaneous conversation. Interjudge ratings were obtained to establish reliability. The location and severity of the laryngotracheal stenosis and the method of treatment were reviewed. Twelve children have a functional voice compared to six preoperatively. Overall, vocal parameters suggested a particular pattern consisting of a lower than optimal pitch and a restricted pitch range. Laryngotracheal reconstruction does make oral communication possible for children who would otherwise have persistent tracheotomy. However, vocal quality appears to be disturbed in most of the patients.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.1991.101.4.425</identifier><identifier>PMID: 1895860</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Honboken, NJ: Wiley-Blackwell</publisher><subject>Biological and medical sciences ; Child ; Child, Preschool ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Intubation, Intratracheal - adverse effects ; Laryngostenosis - etiology ; Laryngostenosis - physiopathology ; Laryngostenosis - surgery ; Larynx - surgery ; Medical sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Trachea - surgery ; Tracheal Stenosis - etiology ; Tracheal Stenosis - physiopathology ; Tracheal Stenosis - surgery ; Voice Quality</subject><ispartof>The Laryngoscope, 1991-04, Vol.101 (4), p.425-429</ispartof><rights>Copyright © 1991 The Triological Society</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3875-45d7a9cc8df314abaf8eccbb204a51a870055faa90523031e4c0848bc84278043</citedby><cites>FETCH-LOGICAL-c3875-45d7a9cc8df314abaf8eccbb204a51a870055faa90523031e4c0848bc84278043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,777,781,786,787,23911,23912,25121,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19761439$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1895860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zalzal, George H.</creatorcontrib><creatorcontrib>Loomis, Susan R.</creatorcontrib><creatorcontrib>Derkay, Craig S.</creatorcontrib><creatorcontrib>Murray, Sharon L.</creatorcontrib><creatorcontrib>Thomsen, James</creatorcontrib><title>Vocal Quality of Decannulated Children Following Laryngeal Reconstruction</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Laryngotracheal reconstruction with expansion surgery is a reliable method for treatment of laryngotracheal stenosis in children. It allows for decannulation of the patient and restoration of vocal communication. Previous information regarding vocal quality in these patients has been scant. Sixteen children who underwent successful laryngotracheal reconstruction were evaluated using a standardized voice assessment during each of the following: phoneme prolongation, counting, storytelling, and spontaneous conversation. Interjudge ratings were obtained to establish reliability. The location and severity of the laryngotracheal stenosis and the method of treatment were reviewed. Twelve children have a functional voice compared to six preoperatively. Overall, vocal parameters suggested a particular pattern consisting of a lower than optimal pitch and a restricted pitch range. Laryngotracheal reconstruction does make oral communication possible for children who would otherwise have persistent tracheotomy. However, vocal quality appears to be disturbed in most of the patients.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Laryngostenosis - etiology</subject><subject>Laryngostenosis - physiopathology</subject><subject>Laryngostenosis - surgery</subject><subject>Larynx - surgery</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Trachea - surgery</subject><subject>Tracheal Stenosis - etiology</subject><subject>Tracheal Stenosis - physiopathology</subject><subject>Tracheal Stenosis - surgery</subject><subject>Voice Quality</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFtLAzEQhYMoWi-_QIR90betmVy6yZulXqEgioo-hWw2W1fSpG52kf57U1voq0_DmfnOzHAQOgU8BIzJpdPtcghSQpIwZENG-A4aAKeQMyn5LhokiuaCk_cDdBjjF8ZQUI730T4IycUID9DDWzDaZU-9dk23zEKdXVujve-d7myVTT4bV7XWZ7fBufDT-Fk2TVf9zCbTszXBx67tTdcEf4z2au2iPdnUI_R6e_Myuc-nj3cPk_E0N1QUPGe8KrQ0RlQ1BaZLXQtrTFkSzDQHLQqMOa-1lpgTiilYZrBgojSCkUJgRo_QxXrvog3fvY2dmjfRWOe0t6GPqiCAyQhIAukaNG2IsbW1WrTNPH2vAKtVgMr9iRRgkqCYSgEm19lmfV_ObbX1rBNL8_PNXMeUXN1qb5q4xWQxAkZl4q7W3E_j7PI_p9V0_PyxaqUOW73yC6YJjPw</recordid><startdate>199104</startdate><enddate>199104</enddate><creator>Zalzal, George H.</creator><creator>Loomis, Susan R.</creator><creator>Derkay, Craig S.</creator><creator>Murray, Sharon L.</creator><creator>Thomsen, James</creator><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199104</creationdate><title>Vocal Quality of Decannulated Children Following Laryngeal Reconstruction</title><author>Zalzal, George H. ; Loomis, Susan R. ; Derkay, Craig S. ; Murray, Sharon L. ; Thomsen, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3875-45d7a9cc8df314abaf8eccbb204a51a870055faa90523031e4c0848bc84278043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Laryngostenosis - etiology</topic><topic>Laryngostenosis - physiopathology</topic><topic>Laryngostenosis - surgery</topic><topic>Larynx - surgery</topic><topic>Medical sciences</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Trachea - surgery</topic><topic>Tracheal Stenosis - etiology</topic><topic>Tracheal Stenosis - physiopathology</topic><topic>Tracheal Stenosis - surgery</topic><topic>Voice Quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zalzal, George H.</creatorcontrib><creatorcontrib>Loomis, Susan R.</creatorcontrib><creatorcontrib>Derkay, Craig S.</creatorcontrib><creatorcontrib>Murray, Sharon L.</creatorcontrib><creatorcontrib>Thomsen, James</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zalzal, George H.</au><au>Loomis, Susan R.</au><au>Derkay, Craig S.</au><au>Murray, Sharon L.</au><au>Thomsen, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vocal Quality of Decannulated Children Following Laryngeal Reconstruction</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>1991-04</date><risdate>1991</risdate><volume>101</volume><issue>4</issue><spage>425</spage><epage>429</epage><pages>425-429</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Laryngotracheal reconstruction with expansion surgery is a reliable method for treatment of laryngotracheal stenosis in children. It allows for decannulation of the patient and restoration of vocal communication. Previous information regarding vocal quality in these patients has been scant. Sixteen children who underwent successful laryngotracheal reconstruction were evaluated using a standardized voice assessment during each of the following: phoneme prolongation, counting, storytelling, and spontaneous conversation. Interjudge ratings were obtained to establish reliability. The location and severity of the laryngotracheal stenosis and the method of treatment were reviewed. Twelve children have a functional voice compared to six preoperatively. Overall, vocal parameters suggested a particular pattern consisting of a lower than optimal pitch and a restricted pitch range. Laryngotracheal reconstruction does make oral communication possible for children who would otherwise have persistent tracheotomy. However, vocal quality appears to be disturbed in most of the patients.</abstract><cop>Honboken, NJ</cop><pub>Wiley-Blackwell</pub><pmid>1895860</pmid><doi>10.1002/lary.1991.101.4.425</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Laryngoscope, 1991-04, Vol.101 (4), p.425-429 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Child Child, Preschool Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Intubation, Intratracheal - adverse effects Laryngostenosis - etiology Laryngostenosis - physiopathology Laryngostenosis - surgery Larynx - surgery Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Trachea - surgery Tracheal Stenosis - etiology Tracheal Stenosis - physiopathology Tracheal Stenosis - surgery Voice Quality |
| title | Vocal Quality of Decannulated Children Following Laryngeal Reconstruction |
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