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Surgical and prosthesis-related complications using the Groningen button voice prosthesis
1Department of Otorhinolaryngology and Head and Neck Surgery, University of Nijmegen, The Netherlands.
Clinical Otolaryngology and Allied Sciences
|December 1, 1990
Summary
The Groningen button voice prosthesis offers effective speech rehabilitation with few minor complications, primarily granulation and scarring, which are easily managed. This method advances voice restoration for tracheoesophageal speech patients.
Area of Science:
- Otolaryngology
- Speech Pathology
- Surgical Innovation
Background:
- Tracheoesophageal speech (TES) aids voice restoration after laryngectomy.
- Voice prostheses, like the Groningen button, are used in TES.
- Potential complications associated with TES prostheses require evaluation.
Purpose of the Study:
- To assess the complication rate of the Groningen button voice prosthesis.
- To evaluate the safety and efficacy of this specific prosthesis in speech rehabilitation.
- To compare complication rates with existing literature.
Main Methods:
- Retrospective study of 132 consecutive patients.
- Patients rehabilitated using the Groningen button voice prosthesis.
- Average follow-up period of 21 months.
Main Results:
- No surgical complications were observed.
- 28% of patients experienced prosthesis-related complications.
- Complications were minor (granulation, hypertrophic scarring) and treatable.
- Overall complication rate was low compared to literature.
Conclusions:
- The Groningen button is associated with a low incidence of minor, manageable complications.
- The uncomplicated insertion and self-retaining nature contribute to its safety.
- This prosthesis represents a safe and effective option for tracheoesophageal speech rehabilitation.