Browse > Article
http://dx.doi.org/10.22469/jkslp.2022.33.1.7

Recovery Related to Vocalization and Swallowing After Tracheostomy  

Lee, Chang-Yoon (Department of Otorhinolaryngology, Dongnam Institute of Radiological & Medical Sciences)
Son, Hee Young (Department of Otorhinolaryngology, Dongnam Institute of Radiological & Medical Sciences)
Publication Information
Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics / v.33, no.1, 2022 , pp. 7-12 More about this Journal
Abstract
Tracheostomy refers to a surgical incision created in the neck to allow direct air entry into the trachea bypassing the upper respiratory tract including the oral and nasal cavities. Normal vocalization and swallowing are limited immediately postoperatively; however, gradual recovery of vocalization and swallowing function can be initiated, following improvement in the causative condition that necessitated the tracheostomy. Duration of the tracheostomy depends upon the patient's condition, and the degree of vocalization and swallowing function recovery after tracheostomy tube removal varies widely across patients. In this review, we investigated the changes associated with vocalization and swallowing function in patients who underwent tracheostomy and have discussed the various approaches and voice rehabilitation treatments to aid with normal recovery.
Keywords
Tracheostomy; Voice disorders; Swallowing;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Morris LL, Whitmer A, McIntosh E. Tracheostomy care and complications in the intensive care unit. Crit Care Nurse 2013;33(5):18-30.   DOI
2 Brodsky MB, Levy MJ, Jedlanek E, Pandian V, Blackford B, Price C, et al. Laryngeal injury and upper airway symptoms after oral endotracheal intubation with mechanical ventilation during critical care: A systematic review. Crit Care Med 2018;46(12):2010-7.   DOI
3 Fuller C, Wineland AM, Richter GT. Update on pediatric tracheostomy: Indications, technique, education, and decannulation. Curr Otorhinolaryngol Rep 2021;9(2):188-99.   DOI
4 Lewith H, Athanassoglou V. Update on management of tracheostomy. BJA Educ 2019;19(11):370-6.   DOI
5 Mitchell R, Parker V, Giles M. An interprofessional team approach to tracheostomy care: A mixed-method investigation into the mechanisms explaining tracheostomy team effectiveness. Int J Nurs Stud 2013;50(4):536-42.   DOI
6 McGrath B, Lynch J, Wilson M, Nicholson L, Wallace S. Above cuff vocalisation: A novel technique for communication in the ventilator-dependent tracheostomy patient. J Intensive Care Soc 2016;17(1):19-26.   DOI
7 Freeman-Sanderson AL, Togher L, Elkins MR, Phipps PR. Quality of life improves with return of voice in tracheostomy patients in intensive care: An observational study. J Crit Care 2016;33:186-91.   DOI
8 Bonvento B, Wallace S, Lynch J, Coe B, McGrath BA. Role of the multi-disciplinary team in the care of the tracheostomy patient. J Multidiscip Healthc 2017;10:391-8.   DOI
9 Ding R, Logemann JA. Swallow physiology in patients with trach cuff inflated or deflated: A retrospective study. Head Neck 2005;27(9):809-13.   DOI
10 Suiter DM, McCullough GH, Powell PW. Effects of cuff deflation and one-way tracheostomy speaking valve placement on swallow physiology. Dysphagia 2003;18(4):284-92.   DOI
11 Ford DW, Martin-Harris B. I miss the sound of your voice: Earlier speech in tracheostomy patients. Crit Care Med 2016;44(6):1234-5.   DOI
12 McGrath BA, National Tracheostomy Safety Project (Great Britain). Comprehensive tracheostomy care: The National Tracheostomy Safety Project manual. Chichester: John Wiley & Sons Inc.;2014.
13 Amathieu R, Sauvat S, Reynaud P, Slavov V, Luis D, Dinca A, et al. Influence of the cuff pressure on the swallowing reflex in tracheostomized intensive care unit patients. Br J Anaesth 2012;109(4):578-83.   DOI
14 Wiberg S, Whitling S, Bergstrom L. Tracheostomy management by speech-language pathologists in Sweden. Logoped Phoniatr Vocol. In press 2020.
15 Weyh A, Davis S, Dolan J, Fattahi T, Fraker J, Salman SO. Obese tracheostomy: A challenging path from surgery to decannulation. J Oral Maxillofac Surg 2020;78(4):631-43.   DOI
16 Durila M, Lukas P, Astraverkhava M, Berousek J, Zabrodsky M, Vymazal T. Tracheostomy in intensive care unit patients can be performed without bleeding complications in case of normal thromboelastometry results (EXTEM CT) despite increased PT-INR: A prospective pilot study. BMC Anesthesiol 2015;15:89.   DOI
17 Calder I, Pearce A. Core topics in airway management. 2nd ed. Cambridge: Cambridge University Press;2010. p.21-3.
18 Sekioka A, Fukumoto K, Miyake H, Nakaya K, Nomura A, Yamada S, et al. Long-term outcomes after pediatric tracheostomy-candidates for and timing of decannulation. J Surg Res 2020;255:216-23.   DOI
19 Shapiro J. Oropharyngeal dysphagia: Pathophysiology, clinical assessment and management. Rev Gastroenterol Mex 1994;59(2):91-5.
20 Davis LA, Thompson Stanton S. Characteristics of dysphagia in elderly patients requiring mechanical ventilation. Dysphagia 2004;19(1):7-14.   DOI
21 Divya PS, Vijay A, Ganesh A. Role of speech-language pathologist in tracheostomy care-A case study. Indian J Med Sci 2019;71(2):97-9.   DOI
22 Christopher KL. Tracheostomy decannulation. Respir Care 2005;50(4):538-41.
23 Thiboutot J, Feller-Kopman D. Capping or suctioning for tracheostomy decannulation. N Engl J Med 2020;383(25):2480-1.   DOI
24 Chadda K, Louis B, Benaissa L, Annane D, Gajdos P, Raphael JC, et al. Physiological effects of decannulation in tracheostomized patients. Intensive Care Med 2002;28(12):1761-7.   DOI
25 Sasaki CT, Fukuda H, Kirchner JA. Laryngeal abductor activity in response to varying ventilatory resistance. Trans Am Acad Ophthalmol Otolaryngol 1973;77(6):ORL403-10.
26 Morris L, Afifi MS. Tracheostomies: The complete guide. 1st ed. New York: Springer Publishing Company;2010.
27 Kim KH. Tracheostomy. Seoul: Korea Institute of Medicine;2007.
28 Freeman BD. Tracheostomy update: When and how. Crit Care Clin 2017;33(2):311-22.   DOI
29 Skoretz SA, Anger N, Wellman L, Takai O, Empey A. A systematic review of tracheostomy modifications and swallowing in adults. Dysphagia 2020;35(6):935-47.   DOI
30 Hess DR, Altobelli NP. Tracheostomy tubes. Respir Care 2014;59(6):956-71; discussion 971-3.   DOI
31 Schweiger C, Manica D, Lubianca Neto JF, Sekine L, Krumenauer R, Caixeta JA, et al. Determinants of successful tracheostomy decannulation in children: A multicentric cohort study. J Laryngol Otol 2020;134(1):63-7.   DOI
32 Fujiu M, Logemann JA. Effect of a tongue-holding maneuver on posterior pharyngeal wall movement during deglutition. Am J Speech Lang Pathol 1996;5(1):23-30.   DOI
33 Freeman-Sanderson AL, Togher L, Elkins MR, Phipps PR. Return of voice for ventilated tracheostomy patients in ICU: A randomized controlled trial of early-targeted intervention. Crit Care Med 2016;44(6):1075-81.   DOI