Prosthetic Voice Rehabilitation Following Laryngectomy

Abemayor, Elliot

doi:10.1001/jamaoto.2016.2881

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Specific tissues pertaining to a voice prosthesis include details pertaining to the length of voice prosthesis, expense, diameter, type of retention collar, method of insertion, need for follow-up care, and the patient's ability to care for the prosthesis. For the past several decades, a voice prosthetic device has become the gold standard of voice rehabilitation for a majority of the laryngectomy patients, with the exception of the odd patient who has acquired good esophageal speech or for whom an external device is the only practical method of voice production [1][2][3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…This is also objectively reflected as the better voice parameters, i.e., fundamental frequency, shimmer, jitter, words per minute, and better Not received maximum phonation time for the lung-powered speech. Voice rehabilitation after laryngectomy has in fact been revolutionized by use of TEP with voice prosthesis; many studies over the years have in fact reported its superiority to esophageal speech/electrolarynx speech [1][2][3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…During the performance of a total laryngectomy, the sound source (larynx) is removed and the power source (lungs) is disconnected from the sound modifiers (pharyngoesophageal segment). Over the years tracheoesophageal voice puncture (TEP) coupled with the use of voice prosthesis has become the gold standard for speech rehabilitation in patients who have received total laryngectomy [1][2][3][4][5][6][7][8][9][10]. Although prosthetic voice rehabilitation is commonly practiced in major centers worldwide, there is sparse published Indian data in literature.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Factors Affecting the Longevity of Voice Prosthesis Following Total Laryngectomy with a Review of Literature

Khwajamohiuddin

2017

Indian J Surg Oncol

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Tracheoesophageal voice puncture (TEP) coupled with the use of voice prosthesis has been considered as the gold standard for speech rehabilitation in patients of advanced laryngeal/hypopharyngeal carcinomas, who have undergone a total laryngectomy with or without partial pharyngectomy. Although prosthetic voice rehabilitation is commonly practiced worldwide including India, there is a paucity of published Indian data, more so in the current era of organ conservation. This study included 60 laryngectomized patients with a prosthetic voice rehabilitation at a tertiary cancer center in South India between January 1, 2010 and December 31, 2013. Among the 60 patients, the primary site of cancer was the larynx in 43 patients and hypopharynx in the remaining 17. All patients had undergone a primary TEP insertion, 55 in the upfront setting and five in the salvage (post-radiation/chemo-radiation) setting. The ability to retain a successful trachea-esophageal speech on follow-up (median 15.5 months) in our series was around 82%. The mean device life of voice prosthesis in our patient cohort was 16 months. There was surprisingly no significant difference in the prosthesis device life on correlation with age, co-morbidities, habitat, literacy status, pre-operative tracheostomy, setting of surgery, and the extent of surgery. Our series has successfully demonstrated the safety and feasibility of using primary TEP coupled with the use of voice prosthesis for voice rehabilitation in properly selected and motivated patients of advanced laryngeal and hypopharyngeal carcinomas across all clinical settings. A mean device life of 16 months makes prosthetic voice rehabilitation, an attractive as well as a financially viable option for patients in a resource constrained setting.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysis of Factors Affecting the Longevity of Voice Prosthesis Following Total Laryngectomy with a Review of Literature

Khwajamohiuddin

2017

Indian J Surg Oncol

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“…Compared with esophageal speech, tracheoesophageal speech has demonstrated better results in some voice analysis parameters such as fundamental frequency, maximum phonation time, intensity and other aspects as speech intelligibility (134). Some studies found a correlation between the use of a VP, with a positive restoration of quality of life, self-esteem, and sexual function, with the consequent decrease in the symptoms of depression and anxiety (135).…”

Section: -Tracheoesophageal Speech (Voice Prosthesis)mentioning

confidence: 99%

The Multidisciplinary Team (MDT) Approach and Quality of Care

et al. 2020

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The core function of a multidisciplinary team (MDT) is to bring together a group of healthcare professionals from different fields in order to determine patients' treatment plan. Most of head and neck cancer (HNC) units are currently led by MDTs that at least include ENT and maxillofacial surgeons, radiation and medical oncologists. HNC often compromise relevant structures of the upper aerodigestive tract involving functions such as speech, swallowing and breathing, among others. The impairment of these functions can significantly impact patients' quality of life and psychosocial status, and highlights the crucial role of specialized nurses, dietitians, psycho-oncologists, social workers, and onco-geriatricians, among others. Hence, these professionals should be integrated in HNC MDTs. In addition, involving translational research teams should also be considered, as it will help reducing the existing gap between basic research and the daily clinical practice. The aim of this comprehensive review is to assess the role of the different supportive disciplines integrated in an MDT and how they help providing a better care to HNC patients during diagnosis, treatment and follow up.

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