Computerized Manometry Use to Evaluate Spasm in Pharyngoesophageal Segment in Patients with Poor Tracheoesophageal Speech Before and After Treatment with Botulinum Toxin

Overview

Journal Braz J Otorhinolaryngol

Specialty Otorhinolaryngology

Date 2009 Jul 4

PMID 19575102

Citations 3

Authors

Carlos T Chone

Vinicius Oliveira Seixas

Nelson A Andreollo

Elizabeth Quagliato

Irene H K Barcelos

Ana L Spina

Agricio N Crespo

Affiliations

Soon will be listed here.

Abstract

Unlabelled: Tracheoesophageal voice (TEV) with voice prosthesis (VP) is an efficient and reproducible method used in vocal rehabilitation after total laryngectomy (TL), prevented by spasms in the pharyngoesophageal segment (PES). Computerized Manometry (CM) is a new, direct and objective method used to assess the PES.

Aim: to carry out an objective analysis of the PES, with CM, before and after the injection of botulinum toxin (BT).

Study Design: Clinical-prospective.

Materials And Methods: Analysis of eight patients consecutively submitted to TL with TEV and VP, without vocal emission, with PES spasms seen through videofluoroscopy, considered the gold standard for spasm detection. All had their spasms treated with the injection of 100 units of BT in the PES. The assessment was based on PES videofluoroscopy and CM, before and after BT injection.

Results: There was a PES pressure reduction according to the CM after BT injection in all patients. The average pressure in the PES seen through the CM in eight patients before BT injection was 25.36 mmHg, and afterwards it dropped to 14.31 mmHg (p=0.004). There was vocal emission without stress and PES spasm improvement seen through the videolaryngoscopy after BT injection.

Conclusion: We observed a reduction in PES pressure after BT injection, seen through CM in all the patients, with spasms improvement seen through videofluoroscopy.

Citing Articles

Retrospective Exploration of Botulinum Toxin Injection for Pharyngoesophageal Segment Dysfunction Post-laryngectomy.

Kazemi R, Prince A, Casper K, Spector M, Smith J, Prince M OTO Open. 2024; 8(4):e181.

PMID: 39354952 PMC: 11444489. DOI: 10.1002/oto2.181.

Videofluoroscopy-guided botulinum toxin for pharyngoesophageal spasm: a promising advance in laryngectomy rehabilitation.

Maniaci A, Lavalle S, Mayo-Yanez M, Parisi F, Cocuzza S Eur Arch Otorhinolaryngol. 2024; 281(6):3305-3306.

PMID: 38456929 DOI: 10.1007/s00405-024-08554-8.

Voice quality and surgical detail in post-laryngectomy tracheoesophageal speakers.

Jacobi I, Timmermans A, Hilgers F, van den Brekel M Eur Arch Otorhinolaryngol. 2015; 273(9):2669-79.

PMID: 26395116 DOI: 10.1007/s00405-015-3777-4.

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