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TONI M. LEVINE, MD
Brooklyn, NY

Arch Otolaryngol Head Neck Surg. 1988;114(10):1083.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Debra Mandel, MD, and coworkers, Long Island Jewish Hospital, New Hyde Park, NY, presented a retrospective analysis of the development of alaryngeal speech after laryngectomy in hearing-impaired patients. Their findings were reported at the January 1988 Eastern Section meeting of the Triological Society, held in New York. Of 35 patients examined, 19 had hearing loss greater than 35 dB; most of these losses were sensorineural. Speech quality was determined for each patient. There were seven patients who spoke through the esophagus, nine patients with tracheoesophageal puncture, and 19 patients who used an electrolarynx. Of the 19 patients who used an electrolarynx, only five developed proficient speech.

No patients with significant hearing loss developed esophageal speech; one patient with unilateral hearing loss developed esophageal speech. This may be secondary to the volume of esophageal speech being 10 dB less than laryngeal speech, causing difficulty in the patient's monitoring his own . . . [Full Text PDF of this Article]

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