Prosthetic Vocal Rehabilitation following Laryngectomy

Panje, William R.

doi:10.1177/000348948109000204

Cited by 173 publications

(68 citation statements)

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“…Results with a commercially produced silicone Blom-Singer 'duckbill' voice prosthesis in 60 patients were published in 1980 [3]. In 1981, a flexible cir- [22], was incorporated on the proximal tip of the prosthesis to provide intraluminal retention. By 1983, our accumulated clinical experience taught us that an 8-mm-long 'duckbill' valve tip would, in some patients, impinge against the posterior esophageal mucosa ( fig.…”

Section: Tracheoesophageal Voice Prosthesis Evolutionmentioning

confidence: 99%

Tracheoesophageal Voice Restoration: Origin – Evolution – State-of-the-Art

Blom¹

1999

Folia Phoniatr Logop

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Section: Tracheoesophageal Voice Prosthesis Evolutionmentioning

confidence: 99%

Tracheoesophageal Voice Restoration: Origin – Evolution – State-of-the-Art

Blom¹

1999

Folia Phoniatr Logop

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“…The use of a prosthetic valve has become an important method for rehabilitation after total laryngectomy since the introduction of the Blom-Singer Duckbill [2,3] and Panje prostheses [4]. TEP is an acceptable method of voice restoration, with better acquisition in speech intelligibility and fluency.…”

Section: Introductionmentioning

confidence: 99%

Comparison between Primary and Secondary Tracheoesophageal Puncture Prosthesis: A Systematic Review

Neto¹,

Dedivitis

Aires

et al. 2017

ORL

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Introduction: Since the introduction of tracheoesophageal puncture (TEP) and placement of voice prosthesis, this has become the method of choice to achieve speech rehabilitation after total laryngectomy. Objective: To compare the complications and success in speech rehabilitation of patients undergoing rehabilitation after primary and secondary TEP (TEP1 and TEP2) through a systematic review. Methods: The literature survey included research in MedLine, Scielo, Lilacs, Cochrane and Websco until June 2016. Results: The rate of leakage around the prosthesis was higher in TEP1 (22.5 vs. 6.9%, p = 0.03). There were higher rates of wound infection (9.1 vs. 3.9%) and tracheal stenosis (8.5 vs. 4.5%) in the TEP1 group compared to TEP2, however with no statistical significance. The evaluation of speech quality was not possible due to the heterogeneity of the studies. Conclusion: There is a reduction in the risk of leakage around the prosthesis among TEP2 patients.

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“…Although surgical voice rehabilitation after total laryngectomy has existed for almost 115 years, it has been only last 20 years, the technique of tracheoesophageal puncture (TEP) has been established as a main procedure and with continued development and knowhow in the technique, improvement in one way valve prosthesis design, material and increase in indwelling time, it has becomes an accepted procedure with very good long term successful continued use of voice as compared to other method of rehabilitation [1,2].…”

Section: Introductionmentioning

confidence: 99%

Tracheo Oesophageal Puncture Voice: An Indian Perspective

Golhar

2010

Indian J Otolaryngol Head Neck Surg

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Author presents in this study 160 patients who underwent tracheoesophageal puncture (TEP) for voice rehabilitation after laryngectomy. This study represents authors experience in Indian perspective with regards to technique, timing of surgery, i.e., primary or secondary, effect of socioeconomic condition of the patients. Author also narrated complications secondary to the TEP voice and prosthesis, during long follow-up of 15 years. The primary and secondary TEP were compared in patients having good socio-economical status with that of relatively poor status patients. As compared to the western literature, this Indian study showed significant differences in success rate of achieving good TEP voice production and also continuing use of TEP voice. Author observed that despite, entirely different socio economic condition and lack of proper follow-up, the secondary TEP done after complete evaluation of the patient yields much better sustained results for successful voice acquisition and continuation of the use of acquired voice. Author has described in details about the surgical procedures for secondary TEP; the prosthesis, care of prosthesis, problems due to TEP and prosthesis and the ways to rectify these problems.

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Prosthetic Vocal Rehabilitation following Laryngectomy

Cited by 173 publications

References 0 publications

Tracheoesophageal Voice Restoration: Origin – Evolution – State-of-the-Art

Tracheoesophageal Voice Restoration: Origin – Evolution – State-of-the-Art

Comparison between Primary and Secondary Tracheoesophageal Puncture Prosthesis: A Systematic Review

Tracheo Oesophageal Puncture Voice: An Indian Perspective

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