TE Voice Restoration Following Total Laryngectomy

Blom, Eric; Hamaker, Ronald C.; Freeman, Stephen B.

doi:10.1016/s0194-5998(05)80435-8

Cited by 42 publications

(74 citation statements)

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“…Procedures for primary and secondary TEP were carried out according to those described by other authors [8,9]. All patients were rehabilitated with indwelling Provox voice prostheses (Atos Medical AB, Hörby, Sweden).…”

Section: Methodsmentioning

confidence: 99%

Post laryngectomy speech rehabilitation outcome in elderly patients

Cocuzza

Bonfiglio

Grillo

et al. 2013

Eur Arch Otorhinolaryngol

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The aim of our work has been to evaluate the different options of tracheoesophageal voice rehabilitation in over 70-year-old patients, who had undergone laryngectomy, assessing advantages and drawbacks of this method of vocal recovery. A retrospective study has been carried out. This has included 40 subjects, all aged more than 70 years old, who have been referred to tracheoesophageal voice rehabilitation. It has been realized a phonatory fistula between trachea and esophagus with prosthesis positioning by means of a primary puncture in 18 cases and it has been realized a secondary puncture in 22 cases. The results gathered in these patients were compared with data obtained from a group made of 39 patients, less than 70 years of age that therefore represented our control group. In primary tracheoesophageal puncture (TEP), the short-term success was 67 %, while in the 22 cases who underwent secondary TEP, the short-term success was 64 %. After 2 years from TEP, the long-term success was 82.5 %. In the control group, the short-term success was 65 % in primary TEP and 73 % in secondary TEP. After 2 years from TEP, the long-term success was 77 %. The evaluation of the results has shown the absence of a statistically significant difference both as regards complications incidence, during and after surgery (p [ 0.9) and as regards overall success ratio of prosthesis implants between the two groups (p [ 0.7). The possibilities of tracheoesophageal recovery of elderly patients do not show dissimilarities in comparison with the results in younger subjects.

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Section: Methodsmentioning

confidence: 99%

Post laryngectomy speech rehabilitation outcome in elderly patients

Cocuzza

Bonfiglio

Grillo

et al. 2013

Eur Arch Otorhinolaryngol

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“…The rehabilitation of total laryngectomized patients with tracheoesophageal voice with VP, after primary or secondary TEP, proved to be a more reproducible method and with fewer complications to patients 1,3,[5][6][7][8][9][10][11] . Vocal rehabilitation with esophageal voice has success rate of 24 to 26% 6,12 , but with VP this rate is increased to 58% to 94% for immediate results with primary TEP and 61% to 64% for secondary TEP 6,8,10,11,[13][14][15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

“…Age was another factor that did not demonstrate influence in the success rate with the use of VP. Thus, advanced age of the patient is not a limiting factor for the use of VP, given that the indication criteria are respected 5 and depending on appropriate psychological, speech and medical guidance when the indication of TL is made and up to the day of the surgery concerning phonation rehabilitation with assessment of motivation and expectations 5 .…”

Section: Discussionmentioning

confidence: 99%

“…In primary TEP, myotomy of medial and inferior constrictor muscles of the pharynx is one of the surgical times of the described surgical technique 1,5 . Its performance may be related with incidence of postoperative salivary fistula 8,28,34 .…”

Section: Discussionmentioning

confidence: 99%

“…The opening is maintained through a nasogastric tube for three days and then the VP is inserted. Criteria for indication of VP are well defined in the literature 5 . Primary and secondary TEP technique has been described in previous articles.…”

Section: Methodsmentioning

confidence: 99%

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Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Chone

Spina

Crespo

et al. 2005

Rev. Bras. Otorrinolaringol.

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To evaluate long-term use of indwelling Blom-Singer voice prosthesis (VP) for vocal rehabilitation of patients submitted to total laryngectomy (TL). We studied the influence of time of performance of tracheo-esophageal puncture (TEP), use of radiotherapy (XRT), patients' age and length of followup, on the rate of success of use of VP. Study Design: clinical prospective. Material and Method: Seventy-one patients were submitted to TL and rehabilitated with indwelling VP. Both otolaryngologist and speech pathologist evaluated all patients for the vocal functional issues during the follow-up. The relative data on time of placement of VP, time of use of PF, use of XRT, age, length of follow-up and interval of duration of each VP were recorded during the follow-up. Results: There was 87% of patients with primary TEP and 13% with secondary. The follow-up varied from 12 to 87 months, with average of 38 months for primary and 51 months for secondary TEP. There were 59% of patients submitted to XRT. The general rate of success was of 94%. In primary TEP it was of 97% and in the secondary, it was 78% (p=0.07) and after two years, the success rate was of 96% in primary TEP and 75% in secondary TEP (p=0.07). The use of XRT and patient age did not influence the success of use of VP among primary and secondary TEP, independently of length of follow-up. Conclusion: Tendency to greater success rate in voice rehabilitation after TL with primary TEP was observed. Postoperative XRT and age did not influence success rate.Palavras-chave: câncer, laringe, reabilitação vocal, voz, prótese fonatória.

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Experience with Barton button and peristomal breathing valve attachments for hands-free tracheoesophageal speech

et al. 2000

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Background Tracheostoma breathing valves permit hands‐free tracheoesophageal (TE) speech production; however, few laryngectomees routinely use them because of problems with attachment. Methods We retrospectively reviewed the charts of 45 TE speakers to determine the success rate and factors associated with successful breathing valve use based on attachment. All patients attempted to use a tracheostoma breathing valve with either a standard or customized peristomal housing, or a standard or customized Barton button. Device selection was based on inspection of the patient's neck and peristomal contour. Six to eight consecutive hours of attachment defined success. Results Overall, 9% of subjects succeeded with any peristomal attachment as compared to 68% with either a standard (57%) or customized (85%) Barton button. Smooth stomal contour, a contiguous stomal lip, and correct button length were important for successful Barton button use. Conclusions Standard or customized Barton buttons offer excellent alternatives to peristomal housing attachments for hands‐free TE speech in select patients. © 2000 John Wiley & Sons, Inc. Head Neck 22: 142–148, 2000.

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TE Voice Restoration Following Total Laryngectomy

Abstract: Educational objectives: To perform primary and secondary tracheoesophageal voice restoration procedures and measure, fit, and trouble-shoot tracheoesophageal voice prostheses.

Cited by 42 publications

References 0 publications

Post laryngectomy speech rehabilitation outcome in elderly patients

Post laryngectomy speech rehabilitation outcome in elderly patients

Reabilitação vocal pós-laringectomia total: resultados em longo prazo com prótese fonatória Blom-Singer® de longa permanência

Experience with Barton button and peristomal breathing valve attachments for hands-free tracheoesophageal speech

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