Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-09T15:59:23.925Z Has data issue: false hasContentIssue false

Insertion of a tracheoesophageal speech valve: a novel approach in a difficult situation

Published online by Cambridge University Press:  05 December 2016

C P Yiannakis*
Affiliation:
Department of Otolaryngology, Monklands District General Hospital, Airdrie, Scotland, UK
R B Townsley
Affiliation:
Department of Otolaryngology, Monklands District General Hospital, Airdrie, Scotland, UK
I G Smillie
Affiliation:
Department of Otolaryngology, Monklands District General Hospital, Airdrie, Scotland, UK
G L Picozzi
Affiliation:
Department of Otolaryngology, Monklands District General Hospital, Airdrie, Scotland, UK
*
Address for correspondence: Mr C P Yiannakis, Department of Otolaryngology, Monklands District General Hospital, Monkscourt Ave, Airdrie ML6 0JS, Scotland, UK E-mail: [email protected]

Abstract

Background:

Functional voice rehabilitation is becoming increasingly important following total laryngectomy and pharyngolaryngectomy. Tracheoesophageal voice via a shunt valve is currently regarded as the ‘gold standard’ for voice rehabilitation. Traditional techniques usually allow for the replacement of valves in the out-patient setting; however, patient factors such as altered anatomy may occasionally prevent this.

Objective:

This paper describes a novel approach for speech valve insertion that is safe, quick and cost-effective, and which uses equipment commonly available in ENT wards and the operating theatre.

Type
Short Communication
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Bozec, A, Poissonnet, G, Chamorey, E, Casanova, C, Vallicioni, J, Demard, F et al. Free-flap head and neck reconstruction and quality of life: a 2-year prospective study. Laryngoscope 2008;118:874–80Google Scholar
2 Dassonville, O, Poissonnet, G, Chamorey, E, Vallicioni, J, Demard, F, Santini, J et al. Head and neck reconstruction with free flaps: a report on 213 cases. Eur Arch Otorhinolaryngol 2008;265:8595 Google Scholar
3 Robertson, SM, Yeo, JC, Dunnet, C, Young, D, Mackenzie, K. Voice, swallowing, and quality of life after total laryngectomy: results of the west of Scotland laryngectomy audit. Head Neck 2012;34:5965 CrossRefGoogle ScholarPubMed
4 de Casso, C, Slevin, NJ, Homer, JJ. The impact of radiotherapy on swallowing and speech in patients who undergo total laryngectomy. Otolaryngol Head Neck Surg 2008;139:792–7Google Scholar
5 Emerick, KS, Tomycz, L, Bradford, CR, Lyden, TH, Chepeha, DB, Wolf, GT et al. Primary versus secondary tracheoesophageal puncture in salvage total laryngectomy following chemoradiation. Otolaryngol Head Neck Surg 2009;140:386–90Google Scholar
6 Laccourreye, O, Menard, M, Crevier-Buchman, L, Couloigner, V, Brasnu, D. In situ lifetime, causes for replacement, and complications of the Provox voice prosthesis. Laryngoscope 1997;107:527–30Google Scholar
7 Op de Coul, BM, Hilgers, FJ, Balm, AJ, Tan, IB, van den Hoogen, FJ, van Tinteren, H. A decade of postlaryngectomy vocal rehabilitation in 318 patients: a single institution's experience with consistent application of provox indwelling voice prostheses. Arch Otolaryngol Head Neck Surg 2000;126:1320–8Google Scholar
8 Brown, DH, Hilgers, FJ, Irish, JC, Balm, AJ. Postlaryngectomy voice rehabilitation: state of the art at the millennium. World J Surg 2003;27:824–31CrossRefGoogle ScholarPubMed
9 Free, RH, Van der Mei, HC, Dijk, F, Van Weissenbruch, R, Busscher, HJ, Albers, FW. Biofilm formation on voice prostheses: influence of dairy products in vitro. Acta Otolaryngol 2000;120:92–9Google Scholar
10 Malik, T, Bruce, I, Cherry, J. Surgical complications of trachea-oesophageal puncture and speech valves. Curr Opin Otolaryngol Head Neck Surg 2007;15:117–22Google Scholar