Groningen prosthesis for voice rehabilitation after laryngectomy

Annyas, A. A.; Nijdam, H. F.; Escajadillo, J.R; Mahieu, Hans F.; Leever, H.

doi:10.1111/j.1365-2273.1984.tb01471.x

Cited by 35 publications

(15 citation statements)

References 8 publications

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“…The use of the low resistance Blom-Singer, Groningen, Nijdam, and Provox VPs results in a 57% to 93% rate of successful voice rehabilitation. [4][5][6][7][8][9][10][11] Hilgers and Schouwenburgi in the first report devoted to the Provox VP noted that the average device lifetime was more than 5 months. In their studies, one half of the patients required replacement less than twice a year.4 In our study the mean duration of the in situ Provox VP lifetime was 311 days.…”

Section: Discussionmentioning

confidence: 99%

In Situ Lifetime, Causes for Replacement, and Complications of the Provox^TMVoice Prosthesis

et al. 1997

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One hundred Provox voice prostheses consecutively inserted in 37 patients and replaced only when phonation was impaired or complications noted were analyzed for in situ lifetime, causes for replacement, and complications. The mean in situ lifetime was 311 days. Actuarial analysis (Kaplan-Meier method) of the in situ lifetime revealed that 65.9%, 23.7%, and 16.4% of the voice prosthesis were still in situ by the 6th, 12th, and 18th postinsertion month. Cause for replacement was salivary leakage through the prosthesis valve, salivary leakage around the prosthesis, deterioration of the prosthesis, and excessive crusting resulting in increased airflow resistance in 33%, 27%, 24%, and 16% of cases, respectively. Complications included granulation tissue formation, cervical cellulitis, necrosis of the tracheoesophageal puncture, tracheostomal stenosis, and swallowing impairment in six, two, one, three, and one patient, respectively.

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Section: Discussionmentioning

confidence: 99%

In Situ Lifetime, Causes for Replacement, and Complications of the Provox^TMVoice Prosthesis

et al. 1997

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“…Prosthetic voice rehabilitation after total laryngectomy has proven to be successful in restoring proper speech function in over 90% of patients and is currently the method of choice in most developed countries. 1,2 Many different types of prostheses have been designed in the last decades, being either indwelling, [3][4][5][6] or non-indwelling devices. 7,8 A voice prosthesis is a semi-permanent implant requiring occasional replacement.…”

Section: Introductionmentioning

confidence: 99%

Long‐Term Results of Provox ActiValve, Solving the Problem of Frequent Candida‐ and “Underpressure”‐Related Voice Prosthesis Replacements

et al. 2008

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Long-term results of Provox General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Results: Median device-related lifetime of Provox ActiValve, replaced for leakage through the device and those still in situ at the date of data collection (N=32), was 337 days (mean 376 days): a statistically significant 16-fold increase compared to Provox2 (P<0.001). In 10 patients replacement was fistula-related (median after 86 days): esophageal pouch (N=4), fistula granulation (N=3), extrusion of the device (N=2), and periprosthetic leakage (N=1).86% of patients used a special lubricant to diminish 'stickiness' of the valve. ProvoxActiValve was preferred by 90% of the patients completing the trial specific questionnaire.Conclusions: For patients requiring frequent device-related replacements, Provox ActiValve, also long-term, provides a true solution and thereby is a valuable addition to prosthetic voice rehabilitation.

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“…[2][3][4] Mechanical prosthetic voice rehabilitation after total laryngectomy has proven to be successful in restoring proper speech function in over 90% of patients and is nowadays the method of choice in most developed countries. 5,6 Mechanical voice prosthesis is a silicone device placed in a fistula created through the tracheoesophageal wall either at the time of the primary operation or later as a second stage independent procedure.…”

Section: 5005/jp-journals-10001-1184mentioning

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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Groningen prosthesis for voice rehabilitation after laryngectomy

Cited by 35 publications

References 8 publications

In Situ Lifetime, Causes for Replacement, and Complications of the Provox^TMVoice Prosthesis

In Situ Lifetime, Causes for Replacement, and Complications of the Provox^TMVoice Prosthesis

Long‐Term Results of Provox ActiValve, Solving the Problem of Frequent Candida‐ and “Underpressure”‐Related Voice Prosthesis Replacements

Blocked Voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity

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Groningen prosthesis for voice rehabilitation after laryngectomy

Cited by 35 publications

References 8 publications

In Situ Lifetime, Causes for Replacement, and Complications of the ProvoxTMVoice Prosthesis

In Situ Lifetime, Causes for Replacement, and Complications of the ProvoxTMVoice Prosthesis

Long‐Term Results of Provox ActiValve, Solving the Problem of Frequent Candida‐ and “Underpressure”‐Related Voice Prosthesis Replacements

Blocked Voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity

Contact Info

Product

Resources

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In Situ Lifetime, Causes for Replacement, and Complications of the Provox^TMVoice Prosthesis

In Situ Lifetime, Causes for Replacement, and Complications of the Provox^TMVoice Prosthesis