Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-24T08:52:09.633Z Has data issue: false hasContentIssue false

The Groningen valve voice prosthesis in Sheffield: a 4-year review

Published online by Cambridge University Press:  29 June 2007

A. J. Parker
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, England.
I. K. O'Leary
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, England.
R. G. Wight
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, England.
R. T. Clegg*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, England.
*
Mr R.T. Clegg, F.R.C.S., Department of Otolargyngology—Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2ff.

Abstract

The Groningen valve was first used in Sheffield in 1986 in a patient who underwent laryngectomy for malignant disease. Since then a further 21 patients have made use of this device, 17 of whom underwent insertion at the time of surgery. All patients were male, two patients have since died and the median length of follow-up to date has been 22.0 (range 2–41) months.

Prostheses were replaced mainly under general anaesthesia if they leaked or resulted in difficult phonation. A total of 73 valve insertions have been performed with a median time of 4.0 (range 0.25–27) months between each. of the 15 men in whom the prosthesis is currently in use, speech was generally good-excellent.

The Groningen valve provides a highly acceptable means of obtaining vocalization after laryngectomy in the patients in this series.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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

Blom, E. D., Singer, M. J. (1979) Surgical prosthetic approaches for postlaryngectomy rehabilitation. In Laryngectomy rehabilitation (Keith, R. L., ed.) College Hill Press: Harston, U.S.A.Google Scholar
Dworkin, J. P., Sparker, A. (1980) A surgical vocal rehabilitation following total laryngectomy. A state of the art report. Clinical Otolaryngology, 5: 339350.CrossRefGoogle ScholarPubMed
Edwards, N. (1974) Postlaryngectomy vocal rehabilitation: preliminary report of a one stage method using expired air and a valved prosthesis. Journal of Laryngology and Otology, 88: 905918.CrossRefGoogle Scholar
Manni, J. J., Van den, Broek (1990) Surgical and prosthesis—related complications using the Groningen button voice prosthesis. Clinical Otolaryngology, 15: 515523.Google Scholar
Mathieu, H. F. (1987) Laryngectomy voice rehabilitation using the Groningen button voice prosthesis. Revue de laryngologie, 108(2): 113118.Google Scholar
Nijdam, H. F., Annyas, A. A., Schutte, H. K., Leever, H. (1982) A new prosthesis for voice rehabilitation after laryngectomy. Archives of Otorhinolaryngology, 237: 2733.CrossRefGoogle Scholar
O'Leary, I. K., Parker, A. J., Clegg, R. T. (1991) Acceptability and intelligibility of tracheoesophageal speech using the Groningen valve. Journal of Disorders of Communication (in press).Google Scholar
Staffieri, M. (1980) New surgical approaches for speech rehabilitation after total laryngectomy. In Surgical and Prosthetic approaches to Speech Rehabilitation, Shedd, D. P., Weinberg, B. (eds.) p 77117.Google Scholar
Stell, P. M, Maran, A. G. D. (1978) Tumours of the Larynx, in Head and NeckSurgery, Second edition. Heinemann: London, p 153179.Google Scholar
Tardy-Mitzell, S., Andrews, M. L., Bowman, S. A. (1985) Acceptibility and intelligibility of tracheosophageal speech. Archives of Otolaryngology, 111: 213215.CrossRefGoogle Scholar