The Differences in Prosodic Features of Alaryngeal Speech
after Laryngectomy
Volume 6 - Issue 5
Ljiljana Širić1,2*
- 1Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Centre Osijek, Osijek, Croatia
- 2Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Received:June 14, 2021; Published:June 25, 2021
Corresponding author: Ljiljana Širić, Department of Otorhinolaryngology, Head and Neck Surgery, Osijek University Hospital Centre,
J Huttlera 4, 31000 Osijek, Croatia
DOI: 10.32474/SJO.2021.06.000250
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Abstract
Purpose: Defining the prosodic features of alaryngeal speech and determining their differences depending on the type of
alternative speech.
Methods: The study included 60 laryngectomized subjects of both sexes with a mean age of 63 years. The subjects were divided
into three groups depending on the type of alternative alaryngeal speech. Prosodic features were assessed using a four-component
scale for the assessment of prosody of alaryngeal speech by three examiners. Statistical data processing was done using the SPSS
statistical package.
Results: Significant differences were found between tracheoesophageal, esophageal, and electro laryngeal speech with respect
to melody and accent performance, and variable rhythm, while the existing differences in the realization of pauses in speech were
not significant. Most tracheoesophageal subjects have the appropriate melody, as well as the accent achieved during the speech, the
logical pauses present, and in most cases the appropriate speech rhythm.
Conclusion: By evaluating prosody, vocal rehabilitation by the installation of a tracheoesophageal prosthesis has proven to be
the most optimal rehabilitation method.
Keywords: Alaryngeal Speech; Assessment; Laryngectomy; Prosody
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