Voice disorders among players of wind instruments?
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Biomedical subjects
Publications and source records attributed to M Röhrs.
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Seventy-three patients were asked to fill in a questionnaire to determine whether a laryngectomee can be rehabilitated better with the oesophageal voice or with the vibrator voice. This evaluation showed no significant difference between these two methods of voice rehabilitation. Patients rehabilitated with the vibrator learn oesophageal voice in addition without undue difficulties. Therefore, we recommend voice rehabilitation of the laryngectomee by both the above methods.
A comprehensive rehabilitation program for laryngectomized patients is presented, consisting of close cooperation between the ENT clinic, phoniatric department and post-operative reconvalescent institution. Four main points are emphasized: (1) rehabilitation with both the oesophageal voice and the vibrator voice; (2) involvement of the patient's partner in the whole rehabilitation program, including participation in the 4-week stay in a post-operative reconvalescent institution; (3) information for the employer about the special needs of a laryngectomee; (4) contact with the regional branch of the laryngectomees' association.
We report 14 patients who took part in a specially designed comprehensive rehabilitation programme for the laryngectomee. Our results clearly indicate that it is only possible to carry out such a project successfully if there is intensive communication between all participants in the programme, including the patient and his/her partner.
A prospective study of vocal function was undertaken before and after CO2-laser surgery for benign tumors and lesions of the larynx: 50 patients with polyps, Reinke's oedema's, leukoplakia etc. were investigated and controlled phoniatrically, including indirect microlaryngoscopy and microstroboscopy. 3 investigators rated the results independently. Laser surgery can minimise tissue damage, as demonstrated by good restoration of vocal function.
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