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Friday, December 30, 2016

Research Paper: Surgical Options for Post-Larengectomy

This is a inquiry paper on surgical options for post-larengectomy. When the tracheotomy is obstruct (with the patients ruffle or a stoma valve) expiratory railway line is redirected to beatify the muscles of the pharyngo-oesophageal sphincter to disclose an alaryngeal part.\n\n\n inform TEP talk and how the vocalise prosthetic device works\n\nWhen the tracheotomy is occluded (with the patients thumb or a stoma valve) expiratory tonal pattern is redirected to vibrate the muscles of the pharyngo-oesophageal sphincter to produce an alaryngeal voice. The vibrating sound travels directly into the spontaneous cavity, where it is shaped by the articulators into speech sounds. A one-way strain valve of appropriate size and diam is inserted to maintain the patency of the tracheo-oesophageal fistula. A duckbill or trapdoor locating at the distal (oesophageal) bar of the valve prevents food entering the windpipe via the valve. (Carding, 2001, p 298)\n\nAdvantages of TEP\n\nT he tracheoesophageai-esophageal shunt (TES) proficiency (Amatsu, 1978, 1980) enables the patient to use air from the trachea. This can be realised by connecting the trachea and the focal ratio part of the esophagus. This surgical proficiency appears to offer a burst voice quality (Johns & Cantrell, 1981; Wet more(prenominal), Krueger, & Wesson, 1981) and a general listener tasting (Clark & Stempie, 1982) than the traditional esophageal voice. In addition, acoustic analysis has suggested that the TES voice is more intense and exhibits more stability in fundamental frequency than esophageal voice (Robbins, 1984; Rob-bins et al., 1984). Doyle et al. (1988) compared patients with TES and esophageal patients using nonsense stimuli. The parameters analyzed were overall harmonical intelligibility, voicing, manner, and consonant omissions.\n\nKindly tar lead custom made Essays, boundary Papers, Research Papers, Thesis, Dissertation, Assignment, Book Reports, Reviews, Presentations, Projects, facial expression Studies, Coursework, Homework, Creative Writing, Critical Thinking, on the topic by clicking on the hallow page.If you want to get a full essay, order it on our website:

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