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Total Larenjektomi Sonrası Ses Restorasyonunda Provox Konuşma Protezi Tecrübelerimiz

Yıl 2010, Cilt: 43 Sayı: 2, 2 - 3, 01.08.2010

Öz

Introduction: To evaluate the success and complications rates after Provox speech prosthesis application.Patients and Methods: A retrospective review was carried out from 2006 to 2010 in data of 58 patients that underwent Provox voice prothesis after total laryngectomy and followed up adequately in first the Ear, Nose and Throat Clinic of Haseki Training and Research Hospital. The age of the patients ranged between 41 and 68 years (mean age 55,42). There were 54 male and four female patients. Fourty-two of the patients had received postoperative radiotherapy. Mean duration of follow-up patients was 19.2 months (18-44 months). Speech rate and quality of patients, complications, frequency of prostheses changes and causes were evaluated. Results: Provox voice prostheses in 51 (87.9%) of the 58 patients provided smooth and clear speech. In five of seven patients, conversation could not be obtained. In two patients, may burst sound, but could not speak. The maximum phonation time in patients with postoperative first month on the average 15.2 ± 1.6 second and in one breath the maximum count was calculated as 33 ± 3.1. Earliest and latest prosthesis replacement months were 3 and 17, respectively with an average of 7.3 months. The most frequent complication was leakage around the prosthesis. Conclusion: The high rate of speech can be obtained Provox voice prosthesis without serious complications. It is a tool that can be applied in practice.

Kaynakça

  • Singer MI, Blom ED. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 1980; 89:529-33.
  • Gates GA, Hearne EM. Predicting esophageal speech. Ann Otol Rhinol Laryngol 1993; 91:454-7.
  • Gutmann MR. Rehabilitation of voice in laryngectomized pati­
  • ents. Arch Otoiaryngoi 1932; 15:478-9.
  • Singer MI. Voice Rehabilitation. Cummings CW (ed). Otolary- ngology Head and Neck Surgery. Mosby Year Book 1993: 2285-98.
  • Baserer N, Cevansir B. Total larenjektomide trakeofarengeal fonatuar sant. Türk Otolarengoloji Arşivi 1998; 26:37-42.
  • Blom ED, Singer MI, Hamaker RC. A prospective study of tracheaesopheai speech. Arch Otoiaryngoi Head Neck Surg 1986; 112:440-7.
  • Gates GA, Ryan W, Cooper JC. Current status of laryngec­ tomy rehabilitation result of therapy. Am J Otoiaryngoi 1982; 3:1-14.
  • Singer MI. Tracheoesophageal speech; vocal rehabilitation after laryngectomy. Laryngoscope 1983; 93:1454-64.
  • Gencay S, Köybasıoğlu A, Belgin E. Ses restorasyonunda prostetik ve afajeal konuşma analizi. Kulak Burun Boğaz ihti­ sas Dergisi 1999; 6:73-5.
  • Kao W, MohrR, Kimmel C, Getch C, Silvermarı C. The outco- me and techniques of primary and secondary tracheoesopha- geal punçtu re. Arch Otoiaryngoi Head Neck Surg 1994; 120: 913-6.
  • Robbins J, Fisher HB, Blom ED. Selective accoustic featu- res of tracheoesophageal, esophageal and laryngeal speech. Arch Otoiaryngoi Head Neck Surg 1984; 110:670-2.
  • Delsupehe K, Zink I, Lejaegere M, et al. Prospective ran- domized comperative study of tracheoeosophageal voice prosthesis: Blom-Singer versus Provox. Laryngoscope 1998; 108:1561-5.
  • Parker AJ, Stevens JC, Clegg RT. An apparatus to measure pressure, flow and speech parameters in patients producing speech using the Groningen valve prosthesis. J Laryngol Otol 1992; 106:896-9.
  • Erişir F, İnci E. Vocal rehabilitation follovving total laryngec­ tomy. Cerrahpaşa J Med 2001; 32:80-5.
  • Anadolu Y, Akbaş Y, Uzun L. Total larenjektomi sonrası provox ses protezi ile ses rehabilitasyonu. KBB ve Baş Boyun Cerra­ hisi Dergisi 1998; 6:26-9.
  • Lam PK, Ho WK, Ho AC, Ng RW, Yuen AP, Wei Wl. Long- term performance of indvvelling tracheoesophageal speaking valves in Chinese patients undergoing laryngectomy. Arch Otoiaryngoi Head Neck Surg 2005; 131:954-8.
  • Guily JL, Angelerd B. Postlaryngectomy voice restoration. Arch Otoiaryngoi Head Neck Surg 1992; 118:252-5.
  • Sloana PM, Griffin JM, ö'Dwyer İP. Esophageal insuflation and videofiuoroscopy for evaluation of esophageal speech in laryngectomy patients: Clinical Implications. Radiology 1991; 181:433-7.
  • Lavertu P, Guay ME. Secondery tracheoesophageal punctu- re: Factors predictive voice quality and prosthesis use. Arch Otoiaryngoi Head Neck Surg 1996; 18:393-8.
  • Quer M, Burgues J, Garda P. Primary tracheoesophageal puncture ı/s esophageal speech. Arch Otoiaryngoi Head Neck Surg 1992; 18:188-90.
  • Trudeau MD, SchullerDE. The effects ofradiation on tracheo­ esophageal puncture. Arch Otoiaryngoi Head Neck Surg1989; 115:740-4.
  • Bloom DE. Tracheooesophageal valves: problems, Solutions, and directions for the futu re. Head Neck Surg 1988; 12:142-5.
  • Palmer MD, Johnson AP, Elliot TJ. Microbial colonization of Blom-Singer Prosthesis in postlaryngectomy patients. Lary­ ngoscope 1993; 103:910-4.
  • Öz F, Korkut N, Özek H. Total larenjektomili hastalarda ses protezi kullanımı. Türk Otolaringol Arş 1992; 30:164-7.

Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy

Yıl 2010, Cilt: 43 Sayı: 2, 2 - 3, 01.08.2010

Öz

Giriş: Provox konuşma protezi uygulaması sonrası başarı oranlarının ve komplikasyonlarının değerlendirilmesi. Hastalar ve Yöntem: SB Haseki Eğitim ve Araştırma Hastanesi 1. Kulak, Burun, Boğaz Kliniğinde 2006-2010 yılları arasında total larenjektomi sonrası Provox ses protezi uygulanan ve düzenli olarak takip edilen 58 hastanın verileri geriye dönük olarak incelendi. Hastaların 54'ü erkek, dördü kadındı, hastaların yaşları 41 ile 68 arasında değişiyordu ve yaş ortalaması 55 idi. Hastaların 42'si postoperatif radyoterapi almıştı. Hastaların takip süreleri ortalama 19.2 aydı (18-44 ay). Hastaların konuşma oranları ve kalitesi, komplikasyonlar, protez değiştirilme sıklığı ve nedenleri değerlendirildi. Bulgular: Provox ses protezi uygulanan 58 hastanın 51 (%87.9)'inde akıcı ve anlaşılabilir konuşma elde edildi. Yedi hastanın beşinde hiç konuşma elde edilemedi. İki hasta ise patlar tarzda ses çıkarabiliyor ancak konuşamıyordu. Hastalarda postoperatif birinci ayda yapılan maksimum fonasyon süreleri ortalaması 15.2 ± 1.6 saniye ve bir nefes alışta maksimum sayı sayma ise 33 ± 3.1 olarak hesaplandı. Protez değişim süreleri en erken üçüncü ay en geç ise 17. ayda idi ve ortalama 7.3 ay olarak hesaplandı.En sık görülen komplikasyon protez çevresinde sızıntı idi. Sonuç: Provox ses protezi, konuşmanın yüksek oranda elde edilebildiği ve ciddi komplikasyonlar olmaksızın pratik olarak uygulanabilen bir araçtır.

Kaynakça

  • Singer MI, Blom ED. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 1980; 89:529-33.
  • Gates GA, Hearne EM. Predicting esophageal speech. Ann Otol Rhinol Laryngol 1993; 91:454-7.
  • Gutmann MR. Rehabilitation of voice in laryngectomized pati­
  • ents. Arch Otoiaryngoi 1932; 15:478-9.
  • Singer MI. Voice Rehabilitation. Cummings CW (ed). Otolary- ngology Head and Neck Surgery. Mosby Year Book 1993: 2285-98.
  • Baserer N, Cevansir B. Total larenjektomide trakeofarengeal fonatuar sant. Türk Otolarengoloji Arşivi 1998; 26:37-42.
  • Blom ED, Singer MI, Hamaker RC. A prospective study of tracheaesopheai speech. Arch Otoiaryngoi Head Neck Surg 1986; 112:440-7.
  • Gates GA, Ryan W, Cooper JC. Current status of laryngec­ tomy rehabilitation result of therapy. Am J Otoiaryngoi 1982; 3:1-14.
  • Singer MI. Tracheoesophageal speech; vocal rehabilitation after laryngectomy. Laryngoscope 1983; 93:1454-64.
  • Gencay S, Köybasıoğlu A, Belgin E. Ses restorasyonunda prostetik ve afajeal konuşma analizi. Kulak Burun Boğaz ihti­ sas Dergisi 1999; 6:73-5.
  • Kao W, MohrR, Kimmel C, Getch C, Silvermarı C. The outco- me and techniques of primary and secondary tracheoesopha- geal punçtu re. Arch Otoiaryngoi Head Neck Surg 1994; 120: 913-6.
  • Robbins J, Fisher HB, Blom ED. Selective accoustic featu- res of tracheoesophageal, esophageal and laryngeal speech. Arch Otoiaryngoi Head Neck Surg 1984; 110:670-2.
  • Delsupehe K, Zink I, Lejaegere M, et al. Prospective ran- domized comperative study of tracheoeosophageal voice prosthesis: Blom-Singer versus Provox. Laryngoscope 1998; 108:1561-5.
  • Parker AJ, Stevens JC, Clegg RT. An apparatus to measure pressure, flow and speech parameters in patients producing speech using the Groningen valve prosthesis. J Laryngol Otol 1992; 106:896-9.
  • Erişir F, İnci E. Vocal rehabilitation follovving total laryngec­ tomy. Cerrahpaşa J Med 2001; 32:80-5.
  • Anadolu Y, Akbaş Y, Uzun L. Total larenjektomi sonrası provox ses protezi ile ses rehabilitasyonu. KBB ve Baş Boyun Cerra­ hisi Dergisi 1998; 6:26-9.
  • Lam PK, Ho WK, Ho AC, Ng RW, Yuen AP, Wei Wl. Long- term performance of indvvelling tracheoesophageal speaking valves in Chinese patients undergoing laryngectomy. Arch Otoiaryngoi Head Neck Surg 2005; 131:954-8.
  • Guily JL, Angelerd B. Postlaryngectomy voice restoration. Arch Otoiaryngoi Head Neck Surg 1992; 118:252-5.
  • Sloana PM, Griffin JM, ö'Dwyer İP. Esophageal insuflation and videofiuoroscopy for evaluation of esophageal speech in laryngectomy patients: Clinical Implications. Radiology 1991; 181:433-7.
  • Lavertu P, Guay ME. Secondery tracheoesophageal punctu- re: Factors predictive voice quality and prosthesis use. Arch Otoiaryngoi Head Neck Surg 1996; 18:393-8.
  • Quer M, Burgues J, Garda P. Primary tracheoesophageal puncture ı/s esophageal speech. Arch Otoiaryngoi Head Neck Surg 1992; 18:188-90.
  • Trudeau MD, SchullerDE. The effects ofradiation on tracheo­ esophageal puncture. Arch Otoiaryngoi Head Neck Surg1989; 115:740-4.
  • Bloom DE. Tracheooesophageal valves: problems, Solutions, and directions for the futu re. Head Neck Surg 1988; 12:142-5.
  • Palmer MD, Johnson AP, Elliot TJ. Microbial colonization of Blom-Singer Prosthesis in postlaryngectomy patients. Lary­ ngoscope 1993; 103:910-4.
  • Öz F, Korkut N, Özek H. Total larenjektomili hastalarda ses protezi kullanımı. Türk Otolaringol Arş 1992; 30:164-7.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Fadlullah Aksoy Bu kişi benim

Bayram Veyseller Bu kişi benim

Yavuz Selim Yıldırım Bu kişi benim

Hasan Demirhan Bu kişi benim

Orhan Özturan Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2010
Yayımlandığı Sayı Yıl 2010 Cilt: 43 Sayı: 2

Kaynak Göster

APA Aksoy, F. ., Veyseller, B. ., Yıldırım, Y. S. ., Demirhan, H. ., vd. (2010). Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy. Acta Oncologica Turcica, 43(2), 2-3.
AMA Aksoy F, Veyseller B, Yıldırım YS, Demirhan H, Özturan O. Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy. Acta Oncologica Turcica. Ağustos 2010;43(2):2-3.
Chicago Aksoy, Fadlullah, Bayram Veyseller, Yavuz Selim Yıldırım, Hasan Demirhan, ve Orhan Özturan. “Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy”. Acta Oncologica Turcica 43, sy. 2 (Ağustos 2010): 2-3.
EndNote Aksoy F, Veyseller B, Yıldırım YS, Demirhan H, Özturan O (01 Ağustos 2010) Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy. Acta Oncologica Turcica 43 2 2–3.
IEEE F. . Aksoy, B. . Veyseller, Y. S. . Yıldırım, H. . Demirhan, ve O. . Özturan, “Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy”, Acta Oncologica Turcica, c. 43, sy. 2, ss. 2–3, 2010.
ISNAD Aksoy, Fadlullah vd. “Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy”. Acta Oncologica Turcica 43/2 (Ağustos 2010), 2-3.
JAMA Aksoy F, Veyseller B, Yıldırım YS, Demirhan H, Özturan O. Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy. Acta Oncologica Turcica. 2010;43:2–3.
MLA Aksoy, Fadlullah vd. “Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy”. Acta Oncologica Turcica, c. 43, sy. 2, 2010, ss. 2-3.
Vancouver Aksoy F, Veyseller B, Yıldırım YS, Demirhan H, Özturan O. Our Experience in Provox Voice Protheses for Voice Restoration After Total Laryngectomy. Acta Oncologica Turcica. 2010;43(2):2-3.