'This is a query paper on running(a) options for post-larengectomy. When the tracheostomy is occluded (with the forbearings toss or a stoma valve) expiratory mail is redirected to quiver the muscles of the pharyngo-oesophageal sphincter to incur an alaryngeal vowelize.\n\n\nExplain TEP delivery and how the voice prosthesis works\n\nWhen the tracheostomy is occluded (with the patients catch or a stoma valve) expiratory air is redirected to beatify the muscles of the pharyngo-oesophageal sphincter to arrive at an alaryngeal voice. The vibrating sound travels forthwith into the oral cavity, where it is molded by the articulators into spoken language sounds. A unidirectional air valve of capture size and diameter is inserted to maintain the noticeability of the tracheo-oesophageal fistula. A duck-billed or trapdoor arranging at the distal (oesophageal) end of the valve prevents nutriment entering the windpipe via the valve. (Carding, 2001, p 298)\n\nAdvantages of TEP\n\nThe tracheoesophageai-esophageal bypass (TES) technique (Amatsu, 1978, 1980) enables the patient to use air from the trachea. This can be accomplished by connecting the trachea and the upper part of the esophagus. This surgical technique appears to draw out a better(p) voice quality (Johns & Cantrell, 1981; Wetmore, Krueger, & Wesson, 1981) and a cosmopolitan listener resource (Clark & Stempie, 1982) than the traditional esophageal voice. In addition, acoustic analysis has suggested that the TES voice is more bad and exhibits more constancy in thoroughgoing frequency than esophageal voice (Robbins, 1984; Rob-bins et al., 1984). Doyle et al. (1988) compared patients with TES and esophageal patients using codswallop stimuli. The parameters analyzed were overall concurring(a) intelligibility, voicing, manner, and consonant omissions.\n\nKindly ordinate custom make Essays, Term Papers, look for Papers, Thesis, Dissertation, Assignment, Book Reports, Reviews, Pres entations, Projects, occurrence Studies, Coursework, Homework, Creative Writing, decisive Thinking, on the radical by clicking on the frame page.If you postulate to get a full essay, order it on our website:
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