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Provox 2 use for voice restoration after total laryngectomy

Year 2014, Volume: 24 Issue: 6, 339 - 343, 25.12.2014

Abstract

Objectives: This study aims to determine the problems of patients applied provox 2 voice prosthesis for speech rehabilitation with their prosthesis and our treatment modalities to increase the quality of life of these patients. Patients and Methods: A total of 210 patients 180 males, 30 females; mean age 58±11.9 years; range 37 to 83 years who underwent total laryngectomy, applied and changed provox 2 voice prosthesis for voice restoration were included in the study. For speech restoration of the patients with a primary intraoperative and secondary postoperative tracheoesophageal fistula was opened. In the 15th postoperative day, provox 2 voice prosthesis was placed to approximately 0.5 cm inferior and midline fistula line of the tracheostoma. The patients underwent speech exercises. Results: The mean change time of prosthesis was 7.5 months range 1 to 48 months . Fungal colonization was detected in 141 patients 66% who had voice prostheses. Granulation tissue developed around the voice prosthesis in 30 patients 14% , three patients 1% swallowed their voice prosthesis, tracheoesophageal fistula width remained permanently in two patients 1% , and these patients were abandoned to use their voice prosthesis. Mediastinitis occurred in one patient 1% . Conclusion: Due to several reasons such as success of high speech despite of complications and being easy to fight with these complications, provox voice prosthesis is an effective method to use for voice restoration.

References

  • Schindler JS. Vocal rehabilitation folloving laryngectomy. In: Cummings CW, editor. Cummings Otolaryngology. Head and Neck Surgery. Philadelphia: Elsevier Mosby; 2005. p. 2420-40.
  • Singer MI, Gress CD. Voice rehabilitation after laryngectomy. In: Bailey BJ, Johnson JT, editors. Otolaryngology-Head & Neck Surgery. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 1779-93.
  • Chone CT, Spina AL, Crespo AN, Gripp FM. Speech rehabilitation after total laryngectomy: long-term results with indwelling voice prosthesis Blom-Singer. Braz J Otorhinolaryngol 2005;71:504-9.
  • Williams SE, Watson JB. Speaking proficiency variationsaccording to method of alaryngeal voicing. Laryngoscope 1987;97:737-9.
  • Schwandt LQ, Tjong-Ayong HJ, van Weissenbruch R, der Mei HC, Albers FW. Differences in aerodynamic characteristics of new and dysfunctional Provox 2 voice prostheses in vivo. Eur Arch Otorhinolaryngol 2006;263:518-23.
  • Palmer MD, Johnson AP, Elliott TS. Microbial colonization of Blom-Singer prostheses in postlaryngectomy 1993;103:910-4. patients. Laryngoscope
  • Arweiler-Harbeck D, Sanders A, Held M, Jerman M, Ehrich H, Jahnke K. Does metal coating improve the durability of silicone rubber voice prosthesis? Acta Otolaryngol 2001;121:643-6.
  • Singer MI. Tracheoesophageal speech; vocal rehabilitation after laryngectomy. Laryngoscope 1983;93:1454-64.
  • Gencay S, Koybasioglu A, Belgin E. Audio restoration prosthetic and esophageal speech Kulak Burun Boğaz İhtisas Dergisi 1999;6:73-5.
  • D'Alatri L, Bussu F, Scarano E, Paludetti G, Marchese MR. Objective and subjective assessment of tracheoesophageal prosthesis voice outcome. J Voice 2012;26:607-13.
  • Lukinovic J, Bilic M, Raguz I, Zivkovic T, Kovac- Bilic L, Prgomet D. Overview of 100 patients with voice prosthesis after total laryngectomy experience of single institution Coll Antropol 2012;36 Suppl 2:99-102.
  • Balm AJ, van den Brekel MW, Tan IB, Hilgers FJ. The indwelling voice prosthesis for speech rehabilitation after total laryngectomy: a safe approach. Otolaryngol Pol 2011;65:402-9.
  • Reumueller A, Leonhard M, Mancusi G, Gaechter JN, Bigenzahn W, Schneider-Stickler B. Pharyngolaryngectomy with free jejunal autograft reconstruction and tracheoesophageal voicerestoration: Indications for replacements, microbial colonization, and indwelling times of the Provox 2 voice prostheses. Head Neck 2011;33:1144-53.
  • Chan JY. Practice of Laryngectomy rehabilitation interventions: a perspective from Hong Kong. Curr Opin Otolaryngol Head Neck Surg 2013;21:205-11.
  • Khemani S, Govender R, Arora A, O’Flynn PE, Vaz FM. Use of botulinum toxin in voice restoration after laryngectomy J Laryngol Otol 2009;123:1308-13.
  • Aust MR, McCaffrey TV. Early speech results with the Provox prosthesis after laryngectomy. Arch Otolaryngol Head Neck Surg 1997;123:966-8.
  • 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;107:527-30.
  • Fusconi M, Taddei AR, Gallo A, Conte M, De Virgilio A, Greco A, et al. Degradation of Silicone Rubber Causes Provox 2 Voice Prosthesis Malfunctioning. J Voice 2014;28:250-4.
  • Garth RJ, McRae A, Rhŷs Evans PH. Tracheo- oesophageal puncture: a review of problems and complications. J Laryngol Otol 1991;105:750-4.
  • Leder SB, Erskine MC. Voice restoration after laryngectomy: axperience with the Blom-Singer extended-wear indwelling tracheoesophageal voice prosthyesis. Head Neck 1997;19:487-93.
  • Dayangku Norsuhazenah PS, Baki MM, Mohamad Yunus MR, Sabir Husin Athar PP, Abdullah S. Complications following tracheoesophageal puncture: a tertiary hospital experience Ann Acad Med Singapore 2010;39:565-4.
  • Demir D, Süoglu Y, Emin H, Guven M, Kiyak E. Factors that affect in situ lifetime of Provox voice prosthesis. Kulak Burun Bogaz Ihtis Derg 2004;13:126-31.
  • Shuaib SW, Hutcheson KA, Knott JK, Lewin JS, Kupferman ME. Minimally invasive approach for the management of the leaking tracheoesophageal puncture Laryngoscope 2012;122:590-4.
  • Imre A, Pınar E, Callı C, Sakarya EU, Oztürkcan S, Oncel S, et al. Complications of tracheoesophageal puncture and speech valves: retrospective analysis of 47 patients. Kulak Burun Bogaz Ihtis Derg 2013;23:15-20.
  • Hilgers FJ, Balm AJ. Long-term results of vocal rehabilitation after total laryngectomy with the low- resistance, indwelling Provox voice prosthesis system. Clin Otolaryngol 1993;18:517-23.
  • Bozec A, Poissonnet G, Chamorey E, Demard F, Santini J, Peyrade F, et al. Results of vocal rehabilitation using tracheoesophageal voice prosthesis after total laryngectomy and their predictive factors. Eur Arch Otorhinolaryngol 2010;267:751-8.
  • Hiltmann O, Buntrock M, Hagen R. Mechanical ileus caused by a Provox voice prosthesis: an “iatrogenic” enteral complication in voice prosthesis rehabilitation of laryngectomees. Laryngorhinootologie 2002;81:890-3.
  • Hutcheson KA, Lewin JS, Sturgis EM, Risser J. Multivariable analysis of risk factors for enlargement of the tracheoesophageal puncture after total laryngectomy. Head Neck 2012;34:557-67.
  • Pedisic D, Ticac R, Candrlic B, Marijic B, Sepic T, Malvic G, et al. The use of ultrasound in determining the length of the provox II voice prosthesis. Coll Antropol 2012;36 Suppl 2:103-6.
  • Annakkaya AN, Balbay EG, Erbaş M, Yıldız Ö. An unusual aspiration: tracheo-esophageal voice prosthesis. Respir Case Rep 2012;1:65-9.
  • Izdebski K, Ross JC, Lee S. Fungal colonization of tracheoesophageal voice prosthesis. Laryngoscope 1987;97:594-7.

Total larenjektomi sonrası ses restorasyonu için provox 2 kullanımı

Year 2014, Volume: 24 Issue: 6, 339 - 343, 25.12.2014

Abstract

Amaç: Bu çalışmada konuşma rehabilitasyonu için provox 2 ses protezi kullandığımız hastaların protezleri ile ilgili karşılaştığı sorunlar ve bu hastaların yaşam kalitesini artırmak için uyguladığımız tedavi yöntemleri belirlendi.Hastalar ve Yöntemler: Total larenjektomi yapılan, ses restorasyonu için provox 2 ses protezi takılıp, değişimi yapılan toplam 210 hasta 180 erkek, 30 kadın; ort. yaş 58±11.9 yıl; dağılım 37-83 yıl çalışmaya alındı. Hastaların ses restorasyonu için, primer ameliyat sırası ve sekonder ameliyat sonrası trakeözofageal fistül açıldı. Ameliyat sonrası 15. günde provox 2 ses protezleri, trakeostomanın yaklaşık 0.5 cm inferior ve orta hattaki fistül hattına yerleştirildi. Hastalarla konuşma egzersizleri yapıldı.Bulgular: Protez değişim süresi ortalama 7.5 ay dağılım 1- 48 ay idi. Ses protezi takılan hastaların 141’inde %66 mantar kolonizasyonu saptandı. Otuzunda %14 ses protezi etrafında granülasyon dokusu gelişti, üçü %1 ses protezini yuttu, ikisinin %1 trakeoözofageal fistül genişliği kalıcı oldu ve bu hastalar için ses protezi kullanımından vazgeçildi. Bir hastada da %1 mediastinit gelişti.Sonuç: Komplikasyonlara rağmen yüksek konuşma başarısı ve bu komplikasyonlarla mücadelenin kolay olması gibi nedenlerden dolayı ses restorasyonu için provox ses protezi kullanmak etkili bir yöntemdir

References

  • Schindler JS. Vocal rehabilitation folloving laryngectomy. In: Cummings CW, editor. Cummings Otolaryngology. Head and Neck Surgery. Philadelphia: Elsevier Mosby; 2005. p. 2420-40.
  • Singer MI, Gress CD. Voice rehabilitation after laryngectomy. In: Bailey BJ, Johnson JT, editors. Otolaryngology-Head & Neck Surgery. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 1779-93.
  • Chone CT, Spina AL, Crespo AN, Gripp FM. Speech rehabilitation after total laryngectomy: long-term results with indwelling voice prosthesis Blom-Singer. Braz J Otorhinolaryngol 2005;71:504-9.
  • Williams SE, Watson JB. Speaking proficiency variationsaccording to method of alaryngeal voicing. Laryngoscope 1987;97:737-9.
  • Schwandt LQ, Tjong-Ayong HJ, van Weissenbruch R, der Mei HC, Albers FW. Differences in aerodynamic characteristics of new and dysfunctional Provox 2 voice prostheses in vivo. Eur Arch Otorhinolaryngol 2006;263:518-23.
  • Palmer MD, Johnson AP, Elliott TS. Microbial colonization of Blom-Singer prostheses in postlaryngectomy 1993;103:910-4. patients. Laryngoscope
  • Arweiler-Harbeck D, Sanders A, Held M, Jerman M, Ehrich H, Jahnke K. Does metal coating improve the durability of silicone rubber voice prosthesis? Acta Otolaryngol 2001;121:643-6.
  • Singer MI. Tracheoesophageal speech; vocal rehabilitation after laryngectomy. Laryngoscope 1983;93:1454-64.
  • Gencay S, Koybasioglu A, Belgin E. Audio restoration prosthetic and esophageal speech Kulak Burun Boğaz İhtisas Dergisi 1999;6:73-5.
  • D'Alatri L, Bussu F, Scarano E, Paludetti G, Marchese MR. Objective and subjective assessment of tracheoesophageal prosthesis voice outcome. J Voice 2012;26:607-13.
  • Lukinovic J, Bilic M, Raguz I, Zivkovic T, Kovac- Bilic L, Prgomet D. Overview of 100 patients with voice prosthesis after total laryngectomy experience of single institution Coll Antropol 2012;36 Suppl 2:99-102.
  • Balm AJ, van den Brekel MW, Tan IB, Hilgers FJ. The indwelling voice prosthesis for speech rehabilitation after total laryngectomy: a safe approach. Otolaryngol Pol 2011;65:402-9.
  • Reumueller A, Leonhard M, Mancusi G, Gaechter JN, Bigenzahn W, Schneider-Stickler B. Pharyngolaryngectomy with free jejunal autograft reconstruction and tracheoesophageal voicerestoration: Indications for replacements, microbial colonization, and indwelling times of the Provox 2 voice prostheses. Head Neck 2011;33:1144-53.
  • Chan JY. Practice of Laryngectomy rehabilitation interventions: a perspective from Hong Kong. Curr Opin Otolaryngol Head Neck Surg 2013;21:205-11.
  • Khemani S, Govender R, Arora A, O’Flynn PE, Vaz FM. Use of botulinum toxin in voice restoration after laryngectomy J Laryngol Otol 2009;123:1308-13.
  • Aust MR, McCaffrey TV. Early speech results with the Provox prosthesis after laryngectomy. Arch Otolaryngol Head Neck Surg 1997;123:966-8.
  • 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;107:527-30.
  • Fusconi M, Taddei AR, Gallo A, Conte M, De Virgilio A, Greco A, et al. Degradation of Silicone Rubber Causes Provox 2 Voice Prosthesis Malfunctioning. J Voice 2014;28:250-4.
  • Garth RJ, McRae A, Rhŷs Evans PH. Tracheo- oesophageal puncture: a review of problems and complications. J Laryngol Otol 1991;105:750-4.
  • Leder SB, Erskine MC. Voice restoration after laryngectomy: axperience with the Blom-Singer extended-wear indwelling tracheoesophageal voice prosthyesis. Head Neck 1997;19:487-93.
  • Dayangku Norsuhazenah PS, Baki MM, Mohamad Yunus MR, Sabir Husin Athar PP, Abdullah S. Complications following tracheoesophageal puncture: a tertiary hospital experience Ann Acad Med Singapore 2010;39:565-4.
  • Demir D, Süoglu Y, Emin H, Guven M, Kiyak E. Factors that affect in situ lifetime of Provox voice prosthesis. Kulak Burun Bogaz Ihtis Derg 2004;13:126-31.
  • Shuaib SW, Hutcheson KA, Knott JK, Lewin JS, Kupferman ME. Minimally invasive approach for the management of the leaking tracheoesophageal puncture Laryngoscope 2012;122:590-4.
  • Imre A, Pınar E, Callı C, Sakarya EU, Oztürkcan S, Oncel S, et al. Complications of tracheoesophageal puncture and speech valves: retrospective analysis of 47 patients. Kulak Burun Bogaz Ihtis Derg 2013;23:15-20.
  • Hilgers FJ, Balm AJ. Long-term results of vocal rehabilitation after total laryngectomy with the low- resistance, indwelling Provox voice prosthesis system. Clin Otolaryngol 1993;18:517-23.
  • Bozec A, Poissonnet G, Chamorey E, Demard F, Santini J, Peyrade F, et al. Results of vocal rehabilitation using tracheoesophageal voice prosthesis after total laryngectomy and their predictive factors. Eur Arch Otorhinolaryngol 2010;267:751-8.
  • Hiltmann O, Buntrock M, Hagen R. Mechanical ileus caused by a Provox voice prosthesis: an “iatrogenic” enteral complication in voice prosthesis rehabilitation of laryngectomees. Laryngorhinootologie 2002;81:890-3.
  • Hutcheson KA, Lewin JS, Sturgis EM, Risser J. Multivariable analysis of risk factors for enlargement of the tracheoesophageal puncture after total laryngectomy. Head Neck 2012;34:557-67.
  • Pedisic D, Ticac R, Candrlic B, Marijic B, Sepic T, Malvic G, et al. The use of ultrasound in determining the length of the provox II voice prosthesis. Coll Antropol 2012;36 Suppl 2:103-6.
  • Annakkaya AN, Balbay EG, Erbaş M, Yıldız Ö. An unusual aspiration: tracheo-esophageal voice prosthesis. Respir Case Rep 2012;1:65-9.
  • Izdebski K, Ross JC, Lee S. Fungal colonization of tracheoesophageal voice prosthesis. Laryngoscope 1987;97:594-7.
There are 31 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Caner Kılıç This is me

Ümit Tunçel This is me

Ela Cömert This is me

Publication Date December 25, 2014
Published in Issue Year 2014 Volume: 24 Issue: 6

Cite

APA Kılıç, C., Tunçel, Ü., & Cömert, E. (2014). Total larenjektomi sonrası ses restorasyonu için provox 2 kullanımı. The Turkish Journal of Ear Nose and Throat, 24(6), 339-343.
AMA Kılıç C, Tunçel Ü, Cömert E. Total larenjektomi sonrası ses restorasyonu için provox 2 kullanımı. Tr-ENT. December 2014;24(6):339-343.
Chicago Kılıç, Caner, Ümit Tunçel, and Ela Cömert. “Total Larenjektomi Sonrası Ses Restorasyonu için Provox 2 kullanımı”. The Turkish Journal of Ear Nose and Throat 24, no. 6 (December 2014): 339-43.
EndNote Kılıç C, Tunçel Ü, Cömert E (December 1, 2014) Total larenjektomi sonrası ses restorasyonu için provox 2 kullanımı. The Turkish Journal of Ear Nose and Throat 24 6 339–343.
IEEE C. Kılıç, Ü. Tunçel, and E. Cömert, “Total larenjektomi sonrası ses restorasyonu için provox 2 kullanımı”, Tr-ENT, vol. 24, no. 6, pp. 339–343, 2014.
ISNAD Kılıç, Caner et al. “Total Larenjektomi Sonrası Ses Restorasyonu için Provox 2 kullanımı”. The Turkish Journal of Ear Nose and Throat 24/6 (December 2014), 339-343.
JAMA Kılıç C, Tunçel Ü, Cömert E. Total larenjektomi sonrası ses restorasyonu için provox 2 kullanımı. Tr-ENT. 2014;24:339–343.
MLA Kılıç, Caner et al. “Total Larenjektomi Sonrası Ses Restorasyonu için Provox 2 kullanımı”. The Turkish Journal of Ear Nose and Throat, vol. 24, no. 6, 2014, pp. 339-43.
Vancouver Kılıç C, Tunçel Ü, Cömert E. Total larenjektomi sonrası ses restorasyonu için provox 2 kullanımı. Tr-ENT. 2014;24(6):339-43.