Postlaryngectomy Voice Restoration: A Prospective Study in 83 Patients

Guily, Jean Lacau Saint; Angelard, B.; El-Bez, M.; Julien, N.; Debry, Christian; Fichaux, P.; Gondret, R.

doi:10.1001/archotol.1992.01880030034008

Cited by 30 publications

(22 citation statements)

References 6 publications

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“…Seventy-seven (45%) of 173 patients in the present series underwent TEP compared with 40 (20%) of 202 patients reported by Geraghty et al 29 and 28 (35%) of 81 patients reported by St Guily et al 28 Patients who underwent laryngectomy at a Veterans Administration hospital were less likely to undergo TEP compared with those operated on at Shands Hospital or a private hospital. The reason for this is unclear but may be related to more stringent selection criteria in an effort to conserve resources at the Veterans Administration hospitals.…”

Section: Discussionmentioning

confidence: 41%

Voice Rehabilitation After Total Laryngectomy and Postoperative Radiation Therapy

Mendenhall

Morris

Stringer

et al. 2002

JCO

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The most common form of voice rehabilitation after total laryngectomy and postoperative radiation therapy is the artificial larynx. Although the tracheoesophageal puncture is a technique frequently promoted by clinicians as a superior method, a relatively small subset of patients are successfully rehabilitated long-term. However, of those who undergo a tracheoesophageal puncture, approximately half will use this method of voice rehabilitation long term.

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Section: Discussionmentioning

confidence: 41%

Voice Rehabilitation After Total Laryngectomy and Postoperative Radiation Therapy

Mendenhall

Morris

Stringer

et al. 2002

JCO

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“…However, the use of the voice prosthesis for voice restoration has been shown to be vastly superior to other methods. (4) It has been reported that the voice prosthesis can result in speech that is more similar to laryngeal speech, giving the patient a longer lasting, better quality and more understandable voice. (5) In this study, we aimed to identify the factors that influence the longevity and replacement frequency of voice prostheses.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the longevity and replacement frequency of Provox voice prostheses

Yenigün¹,

Eren²,

Özkul³

et al. 2015

smedj

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INTRODUCTIONThis study aimed to assess the factors that influence the longevity and replacement frequency of Provox voice prostheses following their placement. METHODSThe medical records of 27 patients who received Provox voice prostheses after total laryngectomy and attended follow-up regularly between 1998 and 2012 were retrospectively reviewed. The success rate of the Provox voice prostheses (i.e. whether speech was achieved), quality of speech achieved, number and type of complications encountered, frequency of prostheses replacement and reasons for prostheses replacements were evaluated.RESULTS All 27 patients were men and their mean age was 63.0 (range 43-78) years. The mean follow-up period was 60.3 (range 1-168) months. Fluent and understandable speech was achieved in 85.0% of the patients. The mean duration before prosthesis replacement had to be performed was 17.1 (range 1-36) months. The most frequent complication was fluid leakage through the prosthesis. There was a strong positive correlation of 77.1% between the longevity of prostheses and postoperative follow-up duration (r = 0.771; p < 0.01). CONCLUSIONThe voice prosthesis is a tool that can be delivered in a practical fashion and replaced easily with no serious complications. It is a means by which speech can be restored, with a high success rate, after total laryngectomy. In the present study, we found that postoperative follow-up duration was the most important factor influencing the longevity of the Provox voice prosthesis.

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“…There was higher success rate tendency in patients submitted to primary than to secondary TEP. Other authors have also demonstrated higher rates of success with primary rehabilitation than secondary one, but without statistical analysis 13,15 .…”

Section: Discussionmentioning

confidence: 97%

“…Esophageal voice rehabilitation has a success rate of 24% to 26% 6,12 and prosthesis with TEP has an increased success rate of 58% to 94% for immediate results of primary TEP and 61% to 64% for secondary TEP 6,8,10,11,[13][14][15][16][17] . Long-term results in the literature, with one-year follow up, ranged from 65% to 85% in primary and 69% to 83% in secondary approach 6,10,[13][14][15][17][18][19][20][21][22] . The main innovation in design and shape of prosthesis placement took place in the USA and Europe, with gradual and global improvement thanks to long-term use by patients 4 .The most recent innovation was the introduction of indwelling VP to suppress the inconvenience and the problems associated with frequent exchanges of VP.…”

Section: Introductionmentioning

confidence: 99%

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Chone

Spina

Crespo

et al. 2005

Rev. Bras. Otorrinolaringol.

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To evaluate long-term use of indwelling Blom-Singer voice prosthesis (VP) for vocal rehabilitation of patients submitted to total laryngectomy (TL). We studied the influence of time of performance of tracheo-esophageal puncture (TEP), use of radiotherapy (XRT), patients' age and length of followup, on the rate of success of use of VP. Study Design: clinical prospective. Material and Method: Seventy-one patients were submitted to TL and rehabilitated with indwelling VP. Both otolaryngologist and speech pathologist evaluated all patients for the vocal functional issues during the follow-up. The relative data on time of placement of VP, time of use of PF, use of XRT, age, length of follow-up and interval of duration of each VP were recorded during the follow-up. Results: There was 87% of patients with primary TEP and 13% with secondary. The follow-up varied from 12 to 87 months, with average of 38 months for primary and 51 months for secondary TEP. There were 59% of patients submitted to XRT. The general rate of success was of 94%. In primary TEP it was of 97% and in the secondary, it was 78% (p=0.07) and after two years, the success rate was of 96% in primary TEP and 75% in secondary TEP (p=0.07). The use of XRT and patient age did not influence the success of use of VP among primary and secondary TEP, independently of length of follow-up. Conclusion: Tendency to greater success rate in voice rehabilitation after TL with primary TEP was observed. Postoperative XRT and age did not influence success rate.Palavras-chave: câncer, laringe, reabilitação vocal, voz, prótese fonatória.

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Postlaryngectomy Voice Restoration: A Prospective Study in 83 Patients

Cited by 30 publications

References 6 publications

Voice Rehabilitation After Total Laryngectomy and Postoperative Radiation Therapy

Voice Rehabilitation After Total Laryngectomy and Postoperative Radiation Therapy

Factors influencing the longevity and replacement frequency of Provox voice prostheses

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

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