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revealed an enlarged hypopharynx, a thick neoglottis while playing at lower tone; at higher pitch the tongue base was retracted, the neoglottis was thin and stretched, and the subneoglottic area was extremely enlarged.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.
|Titolo:||Playing a brass instrument after total laryngectomy : a case report|
SCHINDLER, ANTONIO (Secondo)
|Parole Chiave:||Brass instrument; Digital videofluorography; Total laryngectomy; Tracheoesophageal voice; Voice prosthesis|
|Settore Scientifico Disciplinare:||Settore MED/31 - Otorinolaringoiatria|
|Data di pubblicazione:||2009|
|Digital Object Identifier (DOI):||10.1002/hed.20994|
|Appare nelle tipologie:||01 - Articolo su periodico|