Speaking proficiency variations according to method of alaryngeal voicing

Williams, Sarah E.; Watson, J. P.

doi:10.1288/00005537-198706000-00018

Cited by 84 publications

(64 citation statements)

References 5 publications

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“…(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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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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“…The valve prosthesis is generally accepted to be the method of choice in suitable patients, and allows production of a voice of superior quality to that achievable by other methods Williams and Watson, 1987;Pindzola and Cain, 1988;Hilgers and Schouwenburg, 1990). In Manchester, as in other centres, the Provox™ valve has gained popularity and is now the most commonly used prosthesis.…”

Section: Introductionmentioning

confidence: 99%

Survival times of Provox™ valves

et al. 1996

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This study was performed to assess the survival times of the Provox™ valve in the Manchester area. Thirty-nine patients from four hospitals, representing 81 valve failures, were studied. The effects of the timing of the tracheo-oesophageal puncture, previous radiotherapy, and the presence and timing of cricopharyngeal myotomy on valve life were analysed. Regression analysis using an extension of the Cox model to allow strata showed that the lifetime of the first valve only is adversely affected by previous radiotherapy. The other covariates do not have a statistically significant effect on valve survival. The median valve survival is 4.5 months, (range one to 12 months). A small percentage of valve users with particularly frequent valve failures may require additional support and prolonged anti-fungal therapy.

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“…"18 In this article, we address the issue of success rate variability. The purposes of the article are (1) to intro¬ duce a rating scale that proposes a new conceptualiza¬ tion of success that involves three dimensions, (2) to determine factors that predict tracheoesophageal punc¬ ture success by incorporating this multidimensional rat¬ ing scale in a stepwise multiple regression analysis, and (3) to show how relevant factors can be combined to predict success.…”

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confidence: 99%