Background. A brass instrument is a musical instrument in which the tone is produced by vibration of the lips as the player blows into a tubular resonator. The case of a professional brass player who continued his activity after total laryngectomy, with insertion of a voice prosthesis in a tracheoesophageal shunt, is reported. Methods. A videoendoscopic and videofluoroscopic study of the patient during brass playing was conducted. Results. A nonvibrating, open neoglottis during brass playing was found on videoendoscopy. Videofluorography revealed an enlarged hypopharynx, a thick neoglottis while playing at lower tone; at higher pitch the tongue base was retracted, the neoglottis was thin and stretched, and the subneoglottic area was extremely enlarged. Conclusion. The case reported shows that the insertion of a voice prosthesis in a tracheoesophageal shunt seems to create a regulating airflow system sufficiently advanced to play a brass instrument, further reducing the disability of laryngeal speakers.
Playing a brass instrument after total laryngectomy : a case report / A.L. Cavalot, A. Schindler, E. Juliani, O. Schindler, G. Cortesina. - In: HEAD & NECK. - ISSN 1043-3074. - 31:8(2009), pp. 1102-1106.
Playing a brass instrument after total laryngectomy : a case report
A. SchindlerSecondo
;
2009
Abstract
Background. A brass instrument is a musical instrument in which the tone is produced by vibration of the lips as the player blows into a tubular resonator. The case of a professional brass player who continued his activity after total laryngectomy, with insertion of a voice prosthesis in a tracheoesophageal shunt, is reported. Methods. A videoendoscopic and videofluoroscopic study of the patient during brass playing was conducted. Results. A nonvibrating, open neoglottis during brass playing was found on videoendoscopy. Videofluorography revealed an enlarged hypopharynx, a thick neoglottis while playing at lower tone; at higher pitch the tongue base was retracted, the neoglottis was thin and stretched, and the subneoglottic area was extremely enlarged. Conclusion. The case reported shows that the insertion of a voice prosthesis in a tracheoesophageal shunt seems to create a regulating airflow system sufficiently advanced to play a brass instrument, further reducing the disability of laryngeal speakers.Pubblicazioni consigliate
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