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Passy-Muir valve in children with tracheotomy

J E Cho Lieu1, H R Muntz, D Prater

  • 1Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, CT, USA.

International Journal of Pediatric Otorhinolaryngology
|December 14, 1999
PubMed

Insights

The Passy-Muir valve (PMV) can be successfully used in children with tracheotomies to aid vocalization, though patient and family conditioning is often required. Most pediatric patients tolerated PMV use after multiple trials, indicating its potential for improving speech in this population.

Area of Science:

  • Pediatric Otolaryngology
  • Speech Pathology
  • Respiratory Care

Background:

  • Tracheotomy is common in children for airway obstruction or ventilation.
  • Early vocalization and speech production are key goals for these children.
  • The efficacy of the Passy-Muir valve (PMV) is established in adults, but not well-documented in pediatric populations.

Purpose of the Study:

  • To evaluate the efficacy and clinical complexity of using the Passy-Muir valve (PMV) in children with tracheotomies.
  • To understand the factors influencing successful PMV use in pediatric patients.

Main Methods:

  • Retrospective review of 55 consecutive pediatric cases utilizing the Passy-Muir valve (PMV).
  • Analysis of patient age, medical conditions, and outcomes related to PMV use.

Main Results:

  • The study included children aged 3 days to 18 years, with nearly half under 12 months old.
  • 52 out of 55 evaluated children tolerated PMV use.
  • Successful implementation often required multiple trials and significant patient and family conditioning.

Conclusions:

  • The Passy-Muir valve (PMV) can be successfully used in children with diverse airway pathologies and medical conditions.
  • A protocol for patient evaluation and PMV introduction is discussed.
  • The findings support the use of PMV in pediatric populations to facilitate vocalization.
Abstract

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