Download or read book Factors Affecting Voice Prosthesis Life in Tracheoesophageal Speech written by Ashley N. Lee and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Persons with advanced cancer of the larynx or pyriform sinuses frequently undergo laryngeal amputation (laryngectomy) to remove the tumor. Among the sequelae to this surgery are permanent diversion of the lower airway to a tracheostoma at the base of the neck with loss of the upper airway for respiration and olfaction, maintenance of oral swallowing (but altered by loss of the larynx and alteration of the upper esophageal sphincter), and loss of voice (Stemple, Glaze, & Klaben, 2000). There are three primary methods for voice restoration following total laryngectomy: esophageal speech, speech with an artificial vibratory source (a.k.a. electrolarynx), and tracheoesophageal (TE) speech, which requires a voice prosthesis (v.p.) (Stemple, Glaze, & Klaben, 2000). The latter is the focus of the present study. Since the introduction of the first effective v.p. in 1980 (InHealth Technologies ENT Product Catalog, 2005), there has been a steady increase in the variety of designs of prostheses available for use. This increase in variety raises questions about which design is "best" or what criteria should be employed in selecting v.p.s. The study is a chart review of a 29 patients with total laryngectomy and primary TEP who have been in recovery for at least one year (time frame, 2003-2004). The goal is to identify changes in selected v.p.s and reasons for such changes in the first year post-surgery. The primary trend was a reduction in v.p. length over the first year. A second surprising trend was the relatively short useful life of the clinician-inserted v.p.s. A third trend was the pervasive presence of candida colonization of voice prostheses (a condition which produces premature breakdown of the v.p. valve).

Download or read book The Laryngectomee Guide Expanded Edition written by Itzhak Brook and published by . This book was released on 2018-01-09 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 254 pages expanded Laryngectomy Guide is an updated and revised edition of the original Laryngectomee Guide. It provides information that can assist laryngectomees and their caregivers with medical, dental and psychological issues. It contains information about side effects of radiation and chemotherapy; methods of speaking; airway, stoma, and voice prosthesis care; eating and swallowing; medical, dental and psychological concerns; respiration; anesthesia; and travelling.

Download or read book Tracheoesophageal Voice Restoration Following Total Laryngectomy written by Eric D. Blom and published by Singular. This book was released on 1998 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explores clinical issues of the 20-year-old tracheoesophageal puncture technique which allows for esophageal speech with pulmonic air. After a brief overview of the history of the technique, topics discussed include preoperative assessment methods, patient selection considerations, surgical techniques of primary and secondary puncture, surgical approaches to laryngopharyngectomy, surgical complications, postoperative therapeutic issues, the preservation of tracheoesophogeal prostheses, and the use of botulinum neurotoxin to nonsurgically optimize the pharynx muscles for alaryngeal phonation. Annotation copyrighted by Book News, Inc., Portland, OR

Download or read book Voice Prosthesis Use in the First Two Years of Recovery Status Post Total Laryngectomy written by Katie Stroh and published by . This book was released on 2006 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Advanced laryngeal cancer requires laryngeal amputation (laryngectomy) (Graham, 1997). As a sequelae to laryngectomy, the surgeon redirects the trachea to the external neck, creating a tracheostoma. This serves as the path for respiration as there is no longer a connection between the trachea and the upper airway (Plante & Beeson, 1999). The laryngectomy deprives the patient of the power source (exhaled air) for speech and the vibrating source (vocal folds) for speech. There are three forms of voice restoration following total laryngectomy: esophageal speech, speech with an artificial larynx, and tracheoesophageal (TE) speech, requiring use of a voice prosthesis (v.p.). TE speech is the focus of the present study. Voice prostheses have evolved immensely since their introduction in1980; therefore, clinicians face a multitude of decisions in managing speech rehabilitation. Questions arise regarding which v.p. design is "best" and what criteria should be considered when selecting v.p.s. This study is a chart review of 11 patients with total laryngectomy and primary TEP who have been in recovery for two years (time frame, 2003-2005). The goal was to identify changes in selected v.p.s and reasons for such changes in the first and second years post-surgery. The primary trend was that patients required progressively shorter v.p.s in the first year vs. negligible change in the second year. A second trend was that clinician-inserted v.p.s tended toward a relatively short useful life. A third trend was that more female laryngectomees were retained in the second year of recovery than males. A fourth trend was the pervasive presence of candida colonization of v.p.s (a condition producing breakdown of the v.p. valve.

Download or read book Clinical Care and Rehabilitation in Head and Neck Cancer written by Philip C. Doyle and published by Springer. This book was released on 2019-03-21 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: Malignancies involving structures of the head and neck frequently impact the most fundamental aspects of human existence, namely, those functions related to voice and speech production, eating, and swallowing. Abnormalities in voice production, and in some instances its complete loss, are common following treatment for laryngeal (voice box) cancer. Similarly, speech, eating, and swallowing may be dramatically disrupted in those where oral structures (e.g., the tongue, jaw, hard palate, pharynx, etc.) are surgically ablated to eliminate the cancer. Consequently, the range and degree of deficits that may be experienced secondary to the treatment of head and neck cancer (HNCa) are often substantial. This need is further reinforced by the Centers for Disease Control and Prevention who have estimated that the number of individuals who will be newly diagnosed with HNCa will now double every 10 years. This estimate becomes even more critical given that an increasing number of those who are newly diagnosed will be younger and will experience the possibility of long-term survival post-treatment. Contemporary rehabilitation efforts for those treated for HNCa increasingly demand that clinicians actively consider and address multiple issues. Beyond the obvious concerns specific to any type of cancer (i.e., the desire for curative treatment), clinical efforts that address physical, psychological, communicative, and social consequences secondary to HNCa treatment are essential components of all effective rehabilitation programs. Comprehensive HNCa rehabilitation ultimately seeks to restore multiple areas of functioning in the context of the disabling effects of treatment. In this regard, rehabilitation often focuses on restoration of function while reducing the impact of residual treatment-related deficits on the individual’s overall functioning, well-being, quality of life (QOL), and ultimately, optimize survivorship. Regardless of the treatment method(s) pursued for HNCa (e.g., surgery, radiotherapy, chemoradiation, or combined methods), additional problems beyond those associated with voice, speech, eating and swallowing frequently exist. For example, post-treatment changes in areas such as breathing, maintaining nutrition, limitations in physical capacity because surgical reconstruction such as deficits in shoulder functioning, concerns specific to cosmetic alterations and associated disfigurement, and deficits in body image are common. Those treated for HNCa also may experience significant pain, depression, stigma and subsequent social isolation. Concerns of this type have led clinicians and researchers to describe HNCa as the most emotionally traumatic form of cancer. It is, therefore, essential that clinicians charged with the care and rehabilitation of those treated for HNCa actively seek to identify, acknowledge, and systematically address a range of physical, psychological, social, and communication problems. Efforts that systematically consider this range of post-treatment sequelae are seen as critical to any effort directed toward enhanced rehabilitation outcomes. Actively and purposefully addressing post-treatment challenges may increase the likelihood of both short- and long-term rehabilitation success in this challenging clinical population. Current information suggests that successful clinical outcomes for those with HNCa are more likely to be realized when highly structured, yet flexible interdisciplinary programs of care are pursued. Yet contemporary educational resources that focus not only on management of voice, speech, eating, and swallowing disorders, but also address issues such as shoulder dysfunction due to neck dissection, the significant potential for cosmetic alterations can offer a much broader perspective on rehabilitation. Contemporary surgical treatment frequently involves reconstruction with extensive procedures that require donor sites that include both soft tissue from a variety of locations (e.g., forearm, thigh, etc.), as well as bone (e.g., the scapula). Collectively, resources that address these issues and many other concerns and the resultant social implications of HNCa and its treatment can serve to establish a comprehensive framework for clinical care. Consequently, providing a highly specialized and comprehensive educational resource specific to HNCa rehabilitation is currently needed. The proposed edited book is designed to address this void in a single authoritative resource that is also accessible to the clinical readership. Integral to this proposed book is information that guides clinical approaches to HNCa rehabilitation, in addition to offering emphasis on the direct impact of changes in voice, speech, and swallowing and the impact of such losses on outcomes. Finally, while several other published sources currently exist (see attached list), the emphasis of these books is directed either toward the identification and diagnosis of malignant disease, clinical and surgical pathology, associated efforts directed toward biomedical aspects of cancer and its treatment, or those with a focus on a single clinical problem or approach to rehabilitation. Therefore, the content of the proposed multi-chapter text centers on delivering a systematically structured, comprehensive, and clinically-oriented presentation on a range of topics that will provide readers at a variety of levels with a strong, well-integrated, and empirically driven foundation to optimize the clinical care of those with HNCa. The primary audience for this textbook is undergraduate and graduate-level students in Speech-Language Pathology, as well as practitioners, especially hospital-based practitioners, in Speech-Language Pathology; other key audiences include junior and senior level otolaryngology residents and fellows, translational researchers in head and neck cancer, related medical specialists (e.g., radiation oncology), oncology nurses, and potentially other rehabilitation professionals such as occupational therapists, counseling psychologists, social workers, and rehabilitation counselors.

Download or read book Voice Quality written by John H. Esling and published by Cambridge University Press. This book was released on 2019-06-20 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers a new model of vocal tract articulation that explains laryngeal and oral voice quality, both auditorily and visually, through language examples and familiar voices.

Download or read book The Handbook of Language and Speech Disorders written by Nicole Müller and published by John Wiley & Sons. This book was released on 2012-07-10 with total page 674 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Speech and Language Disorders presents a comprehensive survey of the latest research in communication disorders. Contributions from leading experts explore current issues, landmark studies, and the main topics in the field, and include relevant information on analytical methods and assessment. A series of foundational chapters covers a variety of important general principles irrespective of specific disorders. These chapters focus on such topics as classification, diversity considerations, intelligibility, the impact of genetic syndromes, and principles of assessment and intervention. Other chapters cover a wide range of language, speech, and cognitive/intellectual disorders.

Download or read book Case Studies in Communication Disorders written by Louise Cummings and published by Cambridge University Press. This book was released on 2016-10-06 with total page 527 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a collection of 48 highly useful case studies of children and adults with communication disorders.

Download or read book Physical and Psychosocial Consequences of Total Laryngectomy written by Annemieke Henriëtte Ackerstaff and published by . This book was released on 1995 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Promise of Assistive Technology to Enhance Activity and Work Participation written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-01 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.

Download or read book Functional Assessment for Adults with Disabilities written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-08-31 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs. To receive SSDI or SSI disability benefits, an individual must meet the statutory definition of disability, which is "the inability to engage in any substantial gainful activity [SGA] by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." SSA uses a five-step sequential process to determine whether an adult applicant meets this definition. Functional Assessment for Adults with Disabilities examines ways to collect information about an individual's physical and mental (cognitive and noncognitive) functional abilities relevant to work requirements. This report discusses the types of information that support findings of limitations in functional abilities relevant to work requirements, and provides findings and conclusions regarding the collection of information and assessment of functional abilities relevant to work requirements.

Download or read book Voice Prosthesis in Total Laryngectomized Patients written by Carmelo Saraniti and published by Springer Nature. This book was released on with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Language Disorders from Infancy Through Adolescence E Book written by Rhea Paul and published by Elsevier Health Sciences. This book was released on 2012-01-14 with total page 785 pages. Available in PDF, EPUB and Kindle. Book excerpt: Language Disorders from Infancy Through Adolescence, 4th Edition is the go-to text for all the information you need to properly assess childhood language disorders and provide appropriate treatment. This core resource spans the entire developmental period through adolescence, and uses a descriptive-developmental approach to present basic concepts and vocabulary, an overview of key issues and controversies, the scope of communicative difficulties that make up child language disorders, and information on how language pathologists approach the assessment and intervention processes. This new edition also features significant updates in research, trends, instruction best practices, and social skills assessment. Comprehensive text covers the entire developmental period through adolescence. Clinical application focus featuring case studies, clinical vignettes, and suggested projects helps you apply concepts to professional practice. Straightforward, conversational writing style makes this book easy to read and understand. More than 230 tables and boxes summarize important information such as dialogue examples, sample assessment plans, assessment and intervention principles, activities, and sample transcripts. UNIQUE! Practice exercises with sample transcripts allow you to apply different methods of analysis. UNIQUE! Helpful study guides at the end of each chapter help you review and apply what you have learned. Versatile text is perfect for a variety of language disorder courses, and serves as a great reference tool for professional practitioners. Highly regarded lead author Rhea Paul lends her expertise in diagnosing and managing pediatric language disorders. Communication development milestones are printed on the inside front cover for quick access. Chapter objectives summarize what you can expect to learn in each chapter. Updated content features the latest research, theories, trends and techniques in the field. Information on autism incorporated throughout the text Best practices in preliteracy and literacy instruction The role of the speech-language pathologist on school literacy teams and in response to intervention New reference sources Student/Professional Resources on Evolve include an image bank, video clips, and references linked to PubMed.

Download or read book Pediatric Swallowing and Feeding written by Joan C. Arvedson and published by Plural Publishing. This book was released on 2019-07-26 with total page 619 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric Swallowing and Feeding: Assessment and Management, Third Edition provides information to practitioners interested in and involved with children who demonstrate swallowing and feeding disorders. Since the 2002 publication of the second edition, there has been an exponential increase in the number of medically fragile and complex children with swallowing/feeding disorders. A corresponding proliferation in the related basic and clinical research has resulted in the increased appreciation of the complicated inter-relationships between structures and systems that contribute to swallowing/feeding development, function, and disorders. Case studies throughout the book provide examples for decision making and highlight salient points. New to the Third Edition: * Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is welcomed as co-editor. She brings extensive research expertise and clinical practice in pediatric dysphagia and feeding. * All chapters contain significant updated evidence-based research and clinical information. * New chapters focus on the genetic testing and conditions associated with swallowing and feeding disorders, and the pulmonary manifestations and management of aspiration. * World Health Organization (WHO) description of an International Classification of Functioning, Disability, and Health (ICF) sets the stage for an in-depth discussion of clinical feeding evaluation procedures, interpretation, and management decision making. Pediatric Swallowing and Feeding continues to be the leading text on pediatric dysphagia that provides practical information for clinicians seeing children with swallowing and feeding disorders. The overall importance of an appropriate fund of knowledge and shared experience employing team approaches is emphasized throughout this third edition as in the earlier editions of this book. From the Foreword: "The Editors have recognized the advances and changes in the understanding in the information now available for the care of pediatric swallowing and feeding challenges. They have recruited an outstanding group of contributors for this newest edition. There are numerous critically important updates and additions in the third edition. They have included World Health Organizations International Classification of Functioning, Disability and Health is the functional basis in all areas of the book. This text has its importance as there has been an increased number of children with complex medical and healthcare conditions which are risk for feeding and swallowing disorders. This edition stresses the need for team approaches and also documents the use of “virtual” teams ...Pediatric Swallowing and Feeding: Assessment and Management, Third Edition is the fundamental holistic source for all healthcare providers providing the care for swallowing and feeding in children. This book will be utilized by all caring for children with feeding and swallowing problems throughout the world. The previous editions have been and now this updated third edition continues to be the standard source for the information concerning diagnosis and care of these children." —Robert J. Ruben, MD, FAAP, FACS Distinguished University Professor Departments of Otorhinolaryngology – Head and Neck Surgery and Pediatrics Albert Einstein College of Medicine Montefiore Medical Center Bronx, New York

Download or read book Essentials of Anesthesia for Infants and Neonates written by Mary Ellen McCann and published by Cambridge University Press. This book was released on 2018-02-22 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.

Download or read book Augmentative and Alternative Communication written by David R. Beukelman and published by Brookes Publishing Company. This book was released on 2012 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fourth edition of the foundational, widely adopted AAC textbook Augmentative and Alternative Communication is the definitive introduction to AAC processes, interventions, and technologies that help people best meet their daily communication needs. Future teachers, SLPs, OTs, PTs, and other professionals will prepare for their work in the field with critical new information on advancing literacy skills; conducting effective, culturally appropriate assessment and intervention; selecting AAC vocabulary tailored to individual needs; using new consumer technologies as affordable, nonstigmatizing communication devices; promoting social competence supporting language learning and development; providing effective support to beginning communicators; planning inclusive education services for students with complex communication needs; and improving the communication of people with specific developmental disabilities and acquired disabilities. An essential core text for tomorrow's professionals--and a key reference for in-service practitioners--this fourth edition prepares readers to support the communicative competence of children and adults with a wide range of complex needs.

Download or read book Anesthesia for Otolaryngologic Surgery written by Basem Abdelmalak and published by Cambridge University Press. This book was released on 2012-10-18 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.