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revealed an enlarged hypopharynx, a thick neoglottis while playing at lower tone; at higher pitch the tongue base was retracted, the neoglottis was thin and stretched, and the subneoglottic area was extremely enlarged.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. (C) 2009 Wiley Periodicals, Inc, Head Neck 31: 1102-1106, 2009
Playing a brass instrument after total laryngectomy: a case report.
CAVALOT, Andrea Luigi;
2009-01-01
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revealed an enlarged hypopharynx, a thick neoglottis while playing at lower tone; at higher pitch the tongue base was retracted, the neoglottis was thin and stretched, and the subneoglottic area was extremely enlarged.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. (C) 2009 Wiley Periodicals, Inc, Head Neck 31: 1102-1106, 2009
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