Text-to-speech synthesis as an alternative communication means after total laryngectomy

Aims. Total laryngectomy still plays an essential part in the treatment of laryngeal cancer and loss of voice is the most feared consequence of the surgery. Commonly used rehabilitation methods include esophageal voice, electrolarynx, and implantation of voice prosthesis. In this paper we focus on a...

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Main Authors: Barbora Repova, Michal Zabrodsky, Jan Plzak, David Kalfert, Jindrich Matousek, Jan Betka
Format: Article
Language:English
Published: Palacký University Olomouc, Faculty of Medicine and Dentistry 2021-06-01
Series:Biomedical Papers
Subjects:
Online Access:https://biomed.papers.upol.cz/artkey/bio-202102-0014_text-to-speech-synthesis-as-an-alternative-communication-means-after-total-laryngectomy.php
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author Barbora Repova
Michal Zabrodsky
Jan Plzak
David Kalfert
Jindrich Matousek
Jan Betka
author_facet Barbora Repova
Michal Zabrodsky
Jan Plzak
David Kalfert
Jindrich Matousek
Jan Betka
author_sort Barbora Repova
collection DOAJ
description Aims. Total laryngectomy still plays an essential part in the treatment of laryngeal cancer and loss of voice is the most feared consequence of the surgery. Commonly used rehabilitation methods include esophageal voice, electrolarynx, and implantation of voice prosthesis. In this paper we focus on a new perspective of vocal rehabilitation utilizing alternative and augmentative communication (AAC) methods. Methods and Patients. 61 consecutive patients treated by means of total laryngectomy with or w/o voice prosthesis implantation were included in the study. All were offered voice banking and personalized speech synthesis (PSS). They had to voluntarily express their willingness to participate and to prove the ability to use modern electronic communication devices. Results. Of 30 patients fulfilling the study criteria, only 18 completed voice recording sufficient for voice reconstruction and synthesis. Eventually, only 7 patients started to use this AAC technology during the early postoperative period. The frequency and total usage time of the device gradually decreased. Currently, only 6 patients are active users of the technology. Conclusion. The influence of communication with the surrounding world on the quality of life of patients after total laryngectomy is unquestionable. The possibility of using the spoken word with the patient's personalized voice is an indisputable advantage. Such a form of voice rehabilitation should be offered to all patients who are deemed eligible.
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spelling doaj.art-94ad4bd76042431cb2815945eeceaa592022-12-21T18:57:43ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212021-06-01165219219710.5507/bp.2020.016bio-202102-0014Text-to-speech synthesis as an alternative communication means after total laryngectomyBarbora Repova0Michal Zabrodsky1Jan Plzak2David Kalfert3Jindrich Matousek4Jan Betka5Department of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital MotolDepartment of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital MotolDepartment of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital MotolDepartment of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital MotolDepartment of Cybernetics, University of West Bohemia in Pilsen, Pilsen, Czech RepublicDepartment of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital MotolAims. Total laryngectomy still plays an essential part in the treatment of laryngeal cancer and loss of voice is the most feared consequence of the surgery. Commonly used rehabilitation methods include esophageal voice, electrolarynx, and implantation of voice prosthesis. In this paper we focus on a new perspective of vocal rehabilitation utilizing alternative and augmentative communication (AAC) methods. Methods and Patients. 61 consecutive patients treated by means of total laryngectomy with or w/o voice prosthesis implantation were included in the study. All were offered voice banking and personalized speech synthesis (PSS). They had to voluntarily express their willingness to participate and to prove the ability to use modern electronic communication devices. Results. Of 30 patients fulfilling the study criteria, only 18 completed voice recording sufficient for voice reconstruction and synthesis. Eventually, only 7 patients started to use this AAC technology during the early postoperative period. The frequency and total usage time of the device gradually decreased. Currently, only 6 patients are active users of the technology. Conclusion. The influence of communication with the surrounding world on the quality of life of patients after total laryngectomy is unquestionable. The possibility of using the spoken word with the patient's personalized voice is an indisputable advantage. Such a form of voice rehabilitation should be offered to all patients who are deemed eligible.https://biomed.papers.upol.cz/artkey/bio-202102-0014_text-to-speech-synthesis-as-an-alternative-communication-means-after-total-laryngectomy.phpvoice rehabilitationtotal laryngectomylaryngeal cancervoice bankingaugmentative communicationquality of life
spellingShingle Barbora Repova
Michal Zabrodsky
Jan Plzak
David Kalfert
Jindrich Matousek
Jan Betka
Text-to-speech synthesis as an alternative communication means after total laryngectomy
Biomedical Papers
voice rehabilitation
total laryngectomy
laryngeal cancer
voice banking
augmentative communication
quality of life
title Text-to-speech synthesis as an alternative communication means after total laryngectomy
title_full Text-to-speech synthesis as an alternative communication means after total laryngectomy
title_fullStr Text-to-speech synthesis as an alternative communication means after total laryngectomy
title_full_unstemmed Text-to-speech synthesis as an alternative communication means after total laryngectomy
title_short Text-to-speech synthesis as an alternative communication means after total laryngectomy
title_sort text to speech synthesis as an alternative communication means after total laryngectomy
topic voice rehabilitation
total laryngectomy
laryngeal cancer
voice banking
augmentative communication
quality of life
url https://biomed.papers.upol.cz/artkey/bio-202102-0014_text-to-speech-synthesis-as-an-alternative-communication-means-after-total-laryngectomy.php
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AT davidkalfert texttospeechsynthesisasanalternativecommunicationmeansaftertotallaryngectomy
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