No AccessJournal of Speech, Language, and Hearing ResearchResearch Article1 Feb 1991

The Effects of a Tracheostoma Valve on the Intelligibility and Quality of Tracheoesophageal Speech

    In a listening experiment, speech samples obtained from a tracheoesophageal speaker were judged for intelligibility and general quality by inexperienced and experienced listeners. The speaker produced the speech samples using finger occlusion of the stoma and using a tracheostoma valve. Results showed no significant differences in intelligibility of speech between occlusion conditions for single words, 5-word sentences, and 10-word sentences. Conversational intelligibility was judged to be adversely affected by the tracheostoma valve, though quality of speech was not. No significant differences were found between the judgments of inexperienced and experienced listeners.

    References

    • Baggs, T., & Pine, S. (1983). Acoustic characteristics: Tracheoesophageal speech.Journal of Communication Disorders, 16, 299–307.
    • Blom, E. D., Singer, M. I., & Hamaker, R. C. (1982). Tracheostoma valve for postlaryngectomy voice rehabilitation.Annals of Otology, Rhinology, and Laryngology, 91, 576–578.
    • Blom, E. D., Singer, M. I., & Hamaker, R. C. (1986). A prospective study of tracheoesophageal speech.Archives of Otolaryngology, 112, 440–447.
    • Cullinan, W. L., Brown, C. S., & Blalock, P. D. (1986). Ratings of intelligibility of esophageal and tracheoesophageal speech.Journal of Communication Disorders, 19, 185–195.
    • Gates, G. A., Ryan, W., Cooper, J., Jr., Lawlis, G., Cantu, E., Hayashi, T., Lauder, E., Welch, R., & Hearne, E. (1982). Current status of laryngectomee rehabilitation: I. Results of therapy.American Journal of Otolaryngology, 3, 1–7.
    • McConnel, F. M. S., & Duck, S. W. (1986). Indications for tracheoesophageal puncture speech rehabilitation.Laryngoscope, 96, 1065–1068.
    • Microsoft Corporation. (1988). Statpak [computer program]. Redmond, WA: Author.
    • Panje, W. R. (1981). Prosthetic vocal rehabilitation following laryngectomy.Annals of Otology, Rhinology, and Laryngology, 90, 116–120.
    • Pouloski, B. R., Fisher, H. B., Kempster, G. B., & Blom, E. D. (1989). Statistical differentiation of tracheoesophageal speech produced under four prosthetic/occlusion speaking conditions.Journal of Speech and Hearing Research, 32, 591–599.
    • Prater, R. J., & Swift, R. W. (1984). Manual of voice therapy. Boston: Little, Brown.
    • Robbins, J., Fisher, H. B., Blom, E. D., & Singer, M. I. (1984a). A comparative acoustic study of normal, esophageal, and tracheoesophageal speech production.Journal of Speech and Hearing Disorders, 49, 202–210.
    • Robbins, J., Fisher, H. B., Blom, E. D., & Singer, M. I. (1984b). Selected acoustic features of tracheoesophageal, esophageal, and laryngeal speech.Archives of Otolaryngology, 110, 670–672.
    • Singer, M. I., & Blom, E. D. (1980). An endoscopic technique for restoration of voice after laryngectomy.Annals of Otology, Rhinology, and Laryngology, 89, 529–533.
    • Trudeau, M. D. (1987). A comparison of the speech acceptability of good and excellent esophageal and tracheoesophageal speakers.Journal of Communications Disorders, 20, 41–49.
    • Yorkston, K. M., & Beukelman, D. R. (1981). Assessment of Intelligibility of Dysarthric Speech. Tigard: C. C. Publications.

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