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Provox™ valve use for post-laryngectomy voice rehabilitation

Published online by Cambridge University Press:  29 June 2007

Vincent Callanan*
Affiliation:
Departments of ENT Surgery, Frenchay Hospital, Bristol
Paul Gurr
Affiliation:
Departments of ENT Surgery, Frenchay Hospital, Bristol
David Baldwin
Affiliation:
Departments of ENT Surgery, Frenchay Hospital, Bristol
Morwenna White-Thompson
Affiliation:
Departments of Speech Therapyl, Frenchay Hospital, Bristol
Jane Beckinsale
Affiliation:
Departments of Speech Therapyl, Frenchay Hospital, Bristol
Jane Bennetf
Affiliation:
Department of Speech Therapy, Frenchay Hospital, Bristol
*
Mr Vincent Callanan, F.R.C.S., F.R.C.S.I., Registrar, Department of ENT Surgery, St Thomas’ Hospital, London SE1 7EH.

Abstract

The Provox™ voice prosthesis has been used in our department since September 1992 for postlaryngectomy voice rehabilitation. This prosthesis is an indwelling low-resistance tracheoesophageal valve. The cohort consisted of 28 laryngectomees with a mean follow-up time of 352 days. The average valve life before failure was 148 days. Speech intelligibility of 85 per cent was achieved for complete sentences. No major surgical problems were associated with the valve insertion or its use. Replacement of the prosthesis as an outpatient procedure was accomplished without difficulty.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1995

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References

Asai, R. (1972) Laryngoplasty after total laryngectomy. Archives of Otolaryngology 95: 114119.CrossRefGoogle ScholarPubMed
Conley, J. J., DeAmesti, F., Pierce, M. K. (1958) A new surgical technique for the vocal rehabilitation of the laryngectomized patient. Annals of Orology, Rhinology and Laryngology 67: 655664.CrossRefGoogle ScholarPubMed
Enderby, P. (1979) Frenchay Dysarthria Assessment. (Available from author at Frenchay Hospital, Bristol).Google Scholar
Gussenbauer, C. (1874) Ueber die erst durch Theodor Bilroth am Menschen ausgefuhrte Kehlkopfexstirpation und die Anwendung eines kUnstlichen kehlkopfes-Langenbeck. Archiv für klinische Chirurgie 17: 343356.Google Scholar
Hilgers, F. J. M., Schouenberg, P. F. (1990) A new low-resistance, self-retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy. Laryngoscope 100: 12021207.CrossRefGoogle ScholarPubMed
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
Palmer, M. D., Johnson, A. P., Elliot, T. S. J. (1993) Microbial colonisation of Blom—Singer prostheses in postlaryngectomy patients. Laryngoscope 103: 910914.CrossRefGoogle ScholarPubMed
Panje, W. R. (1981) Prosthetic vocal rehabilitation following laryngectomy: the voice button. Annals of Otology, Rhinology and Laryngology 90: 116120.CrossRefGoogle ScholarPubMed
Perry, A., Gawel, M., Rose, C. F. (1981) Communication aids in patients with motor neurone disease. British Medical Journal 282: 16901692.CrossRefGoogle ScholarPubMed
Provox Voice Prosthesis Manual. Entermed b.v., Po Box 236, 3440 AE Worden, The Netherlands.Google Scholar
Robin, P. E., Olofsson, J. (1987) Tumours of the larynx. In Scott-Brown's Otolaryngology. 5th Edition. Vol. 5. (Stell, P. M., Kerr, A. G., eds.), Butterworths, London, p 218.Google Scholar
Schouenberg, P. F. (1991) The Provox voice prosthesis in the Netherlands Cancer Institute. In Proceedings of the Second National Head and Neck Oncology Conference.University of Nottingham, p 17.Google Scholar
Singer, M. I., Blom, E. D. (1980) An endoscopic technique for restoration of voice after laryngectomy. Annals of Otology, Rhinology and Laryngology 89: 529533.Google Scholar
Sisson, G. A., Bytell, D. B., Becker, S. P., McConnell, E. M. S., Singer, M. I. (1978) Total laryngectomy and reconstruction of a pseudoepiglottis: problems and complications. Laryngoscope 88: 639647.Google Scholar
Staffieri, M. (1976) La chirurgica rihabilitara della voce dapo laringectomia totale. In Associazione Otalogi Ospedalieri Italiani IXXIX Congresso Nazionale, Part 1Associazione Ospedalieri Italiana, pp 5222.Google Scholar
Taub, S., Spiro, R. H. (1972) Vocal rehabilitation of laryngectomees: preliminary report of a new technique. American Journal of Surgery 124: 8790.CrossRefGoogle Scholar
van Weissenbruch, R., Albers, F. W. J. (1993) Vocal rehabilitation after total laryngectomy using the Provox voice prosthesis. Clinical Otolaryngology 18: 358359.Google ScholarPubMed