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[Experiences with the Groningen voice prosthesis after laryngectomy]
J J Manni1, F J van den Hoogen, M Oudes
1Universitäts-HNO-Klinik Nijmegen, Niederlande.
HNO
|June 1, 1994
Summary
Tracheoesophageal voice prostheses offer reliable speech rehabilitation after total laryngectomy. These indwelling devices require minimal patient care and have a low complication rate, enabling improved vocal function.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Biomedical Engineering
Background:
- Total laryngectomy necessitates alternative methods for vocal rehabilitation.
- Tracheoesophageal puncture (TEP) with a valved prosthesis is a common technique.
- Voice prostheses are categorized into indwelling and non-indwelling types.
Purpose of the Study:
- To review the efficacy and management of indwelling voice prostheses for speech rehabilitation post-laryngectomy.
- To discuss specific indwelling prosthesis types and their characteristics.
- To highlight the benefits of TEP for vocal restoration.
Main Methods:
- Review of literature on indwelling voice prostheses (Groningen, Nijdam, Provox).
- Discussion of patient care requirements and replacement procedures.
- Analysis of complication rates and functional outcomes.
Main Results:
- Indwelling prostheses provide reliable and simple vocal rehabilitation.
- These devices require limited patient care and have low complication rates.
- Hand-free speech is achievable with tracheostoma valves.
Conclusions:
- Tracheoesophageal voice prostheses are effective for post-laryngectomy speech rehabilitation.
- Indwelling prostheses offer a low-complication, manageable solution for vocal restoration.
- Continued use of TEP with valved prostheses is encouraged for improved patient quality of life.