Fístulas fonatorias hoy

Poggioli, Nicolás González; González‐Botas, Jesús Herranz; Barro, Juan Carlos Vázquez; Juiz, Vania Novoa; Vidal, José Martı́nez

doi:10.1016/s0001-6519(07)74891-4

Cited by 10 publications

(5 citation statements)

References 19 publications

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“…Regarding general factors, a good overall patient condition without incapacitating comorbidities is required [ 64 , 65 ]. Specifically, there should be no advanced lung pathology, as minimal lung volumes and capacities are necessary to expel the airflow required for voice prosthesis phonation [ 58 , 60 ] (4, C).…”

Section: Evidence-based Recommendationsmentioning

confidence: 99%

Section: Evidence-based Recommendationsmentioning

confidence: 99%

“…Finally, the experience of the hospital center in the technique and having the necessary resources for follow-up, both from the healthcare system and the patient, is key to rehabilitative success [ 16 , 54 , 64 , 65 , 70 ] (2b, C).…”

Section: Evidence-based Recommendationsmentioning

confidence: 99%

“…Additionally, a minimum level of visual capacity is needed for prosthesis care if there is no adequate social or family support [54,58] (4, C). Patient motivation for prosthesis management and self-care is fundamental for rehabilitative success [55,56,59,64,[66][67][68] (3a, B), and having good social/family support is helpful [16,54,69] (3a, B). Finally, the experience of the hospital center in the technique and having the necessary resources for follow-up, both from the healthcare system and the patient, is key to rehabilitative success [16,54,64,65,70] (2b, C).…”

Section: Primary Tep Indicationsmentioning

confidence: 99%

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Evidence-Based Recommendations in Primary Tracheoesophageal Puncture for Voice Prosthesis Rehabilitation

Mayo-Yáñez,

Klein-Rodríguez,

López-Eiroa

et al. 2024

Healthcare

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Head and neck cancer, the seventh most common cancer worldwide, often affects the larynx, with a higher incidence in men. Total laryngectomy, a common treatment, results in the loss of phonation, and tracheoesophageal voice rehabilitation is the current rehabilitation method of choice. Despite ongoing debates regarding the timing of tracheoesophageal puncture (TEP), a crucial procedure for voice prosthesis placement, the secondary puncture continues to be the preferred choice in the majority of cases. This underscores the persistent controversy and the absence of consensus in this field. The aim of this manuscript was to define evidence-based recommendations regarding the procedure of primary TEP with voice prosthesis placement, establish the conditions and requirements for performing primary TEP, determine the indications and contraindications of primary TEP, as well as to define the complications and management of primary TEP. A total of 19 statements were formulated, with 78.95% of them having a Level of Evidence 4 and a Grade of Recommendation C. There is not sufficient evidence comparing the outcomes of primary TEP versus secondary TEP. Future studies with robust methodologies are needed to clarify the role of primary and secondary TEP in the rehabilitation of patients undergoing total laryngectomy.

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Section: Evidence-based Recommendationsmentioning

confidence: 99%

Section: Evidence-based Recommendationsmentioning

confidence: 99%

Section: Evidence-based Recommendationsmentioning

confidence: 99%

Section: Primary Tep Indicationsmentioning

confidence: 99%

See 2 more Smart Citations

Evidence-Based Recommendations in Primary Tracheoesophageal Puncture for Voice Prosthesis Rehabilitation

Mayo-Yáñez,

Klein-Rodríguez,

López-Eiroa

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…[12][13][14] The results obtained through the use of these voice prostheses have been increasing steadily and currently reach over 70% effectiveness. 15,16 Alaryngeal patients are rehabilitated by electrolaryngeal speech, esophageal speech and tracheoesophageal speech via TEP and mechanical voice prosthesis. 10 Electrolarynx needs lesser expertise but gives a mechanical tone to the voice produced.…”

Section: Case Reportmentioning

confidence: 99%

Blocked Voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity

Naik¹,

Halkud²,

Siddappa³

et al. 2014

International Journal of Head and Neck Surgery

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Background/Objectives: Mechanical prosthetic valve rehabili tation after total laryngectomy have a success rates of 90% in restoring voice. The effective speech is achieved better with mechanical voice prosthesis when compared to esophageal speech and electrolarynx. Candidal growth and tubal blockage are the commonest cause of peri and endotubal leakage caus ing prosthesis failure.Case report: A 50-year-old male who had undergone wide field laryngectomy with primary tracheoesophageal puncture (TEP) with voice prosthesis 18 months back complained of blocked voice prosthesis and peritubal leakage. The tip of the cleaning brush which had blocked the opening was removed in the outpa tients under topical anesthesia and the peritubal block reduced. Conclusion:Mechanical valve prosthesis rehabilitation after primary tracheoesophageal puncture is the standard voice rehabilitation of laryngectomized patients. Patient education regarding maintenance of the prosthesis and the care for the tracheostoma is important in reducing the complications.

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Are modern voice prostheses better? A lifetime comparison of 749 voice prostheses

Kress

Schafer

Schwerdtfeger

et al. 2013

Eur Arch Otorhinolaryngol

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The aim of the study was to compare device life of more recent indwelling voice prostheses Provox Vega and Blom-Singer Dual Valve to device life of well-known standard devices (Provox 2, Blom-Singer Classic). In a prospective, non-randomised study, device life of Blom-Singer Classic, Blom-Singer Dual Valve, Provox2, Provox Vega and Provox ActiValve voice prostheses was recorded in a group of 102 laryngectomised patients. In total 749 voice prosthesis were included. Average overall life time was 108 days, median 74 days. The prosthesis with the longest dwell time was the Provox ActiValve (median 291 days). Provox Vega had longer device life compared with Provox2 (median 92 days vs 66 days; p = 0.006) and compared with Blom-Singer Classic (median 92 days vs 69 days; p = 0.004). In conclusion, device lifetimes of Provox Vega and ActiValve were better than those of Provox2 and the Blom-Singer Classic. New voice prostheses, with a defined valve opening pressure (Provox Vega, Provox ActiValve, Blom-Singer Dual Valve) had longer lifetimes than prostheses without a defined opening pressure (Blom-Singer Classic and Provox 2).

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Fístulas fonatorias hoy

Cited by 10 publications

References 19 publications

Evidence-Based Recommendations in Primary Tracheoesophageal Puncture for Voice Prosthesis Rehabilitation

Evidence-Based Recommendations in Primary Tracheoesophageal Puncture for Voice Prosthesis Rehabilitation

Blocked Voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity

Are modern voice prostheses better? A lifetime comparison of 749 voice prostheses

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