Electromyography in near-total laryngectomy

Gujjar Ramrao Arunodaya, Ashok M. Shenoy, Sharma Premalata

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To investigate the dynamics of speech shunt muscle in patients with Pearson near-total laryngectomy by needle electromyography and correlation of ability to activate shunt muscle with speech production. Design and Settings: Prospective study of patients with near-total laryngectomy at 2 hospital-based academic tertiary care centers. Participants and Intervention: Fourteen patients with near-total laryngectomy were subjected to percutaneous needle electromyographic study of the shunt muscle. Main Outcome Measures: Speech ability, electromyographic evidence of viable muscle in shunt wall, and ability to activate shunt muscle were recorded. Results: Twelve of 14 patients had good speech; 11 had evidence of viable shunt muscle; and 9 were able to activate muscle by phonation, swallowing, or deep breathing, indicating preserved innervation. Six of the 12 patients with speech ability and i of the 2 patients without speech ability were able to recruit motor units during attempted phonation. Conclusions: Electromyography demonstrated viable muscle with retained innervation in 64% of the patients with near-total laryngectomy, proving its 'dynamic' nature. However, the usefulness of shunt muscle activation in speech and prevention of aspiration needs further confirmation.

Original languageEnglish
Pages (from-to)857-860
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume124
Issue number8
Publication statusPublished - Aug 1998

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Laryngectomy
Electromyography
Aptitude
Muscles
Phonation
Needles
Deglutition
Tertiary Care Centers
Respiration
Outcome Assessment (Health Care)
Prospective Studies

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Electromyography in near-total laryngectomy. / Arunodaya, Gujjar Ramrao; Shenoy, Ashok M.; Premalata, Sharma.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 124, No. 8, 08.1998, p. 857-860.

Research output: Contribution to journalArticle

Arunodaya, Gujjar Ramrao ; Shenoy, Ashok M. ; Premalata, Sharma. / Electromyography in near-total laryngectomy. In: Archives of Otolaryngology - Head and Neck Surgery. 1998 ; Vol. 124, No. 8. pp. 857-860.
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