Are modern voice prostheses better? A lifetime comparison of 749 voice prostheses

被引:0
作者
P. Kress
P. Schäfer
F. P. Schwerdtfeger
S. Rösler
机构
[1] Klinikum Mutterhaus der Borromaerinnen,
[2] University of Applied Science Esslingen,undefined
来源
European Archives of Oto-Rhino-Laryngology | 2014年 / 271卷
关键词
Laryngectomy; Device life time; Voice prosthesis; Provox Vega; Blom-Singer;
D O I
暂无
中图分类号
学科分类号
摘要
The aim of the study was to compare device life of more recent indwelling voice prostheses Provox Vega and Blom-Singer Dual Valve to device life of well-known standard devices (Provox 2, Blom-Singer Classic). In a prospective, non-randomised study, device life of Blom-Singer Classic, Blom-Singer Dual Valve, Provox2, Provox Vega and Provox ActiValve voice prostheses was recorded in a group of 102 laryngectomised patients. In total 749 voice prosthesis were included. Average overall life time was 108 days, median 74 days. The prosthesis with the longest dwell time was the Provox ActiValve (median 291 days). Provox Vega had longer device life compared with Provox2 (median 92 days vs 66 days; p = 0.006) and compared with Blom-Singer Classic (median 92 days vs 69 days; p = 0.004). In conclusion, device lifetimes of Provox Vega and ActiValve were better than those of Provox2 and the Blom-Singer Classic. New voice prostheses, with a defined valve opening pressure (Provox Vega, Provox ActiValve, Blom-Singer Dual Valve) had longer lifetimes than prostheses without a defined opening pressure (Blom-Singer Classic and Provox 2).
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页码:133 / 140
页数:7
相关论文
共 121 条
[1]  
Nijdam HF(1982)A new prosthesis for voice rehabilitation after laryngectomy Arch Otorhinolaryngol 237 27-33
[2]  
Annyas AA(1990)A new low-resistance, self-retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy Laryngoscope 100 1202-1207
[3]  
Schutte HK(1995)Tracheoesophageal speech Semin Speech Lang 16 191-204
[4]  
Leever H(1997)Development and clinical evaluation of a second-generation voice prosthesis (Provox 2), designed for anterograde and retrograde insertion Acta Otolaryngol 117 889-896
[5]  
Hilgers FJ(2010)Clinical phase I/feasibility study of the next generation indwelling Provox voice prosthesis (Provox Vega) Acta Otolaryngol 130 511-519
[6]  
Schouwenburg PF(2013)Development and (pre-) clinical assessment of a novel surgical tool for primary and secondary tracheoesophageal puncture with immediate voice prosthesis insertion, the Provox Vega Puncture Set Eur Arch Otorhinolaryngol 270 255-262
[7]  
Blom ED(2005)Voice restoration with the advantage tracheoesophageal voice prosthesis Otolaryngol Head Neck Surg 133 681-684
[8]  
Hilgers FJ(2006)Clinical use of a voice prosthesis with a flap valve containing silver oxide (Blom-Singer Advantage), biofilm formation, in situ lifetime and indication Laryngorhinootologie 85 893-896
[9]  
Ackerstaff AH(2003)A new problem-solving indwelling voice prosthesis, eliminating the need for frequent Candida- and “underpressure”-related replacements: Provox ActiValve Acta Otolaryngol 123 972-979
[10]  
Balm AJ(1999)The long-term indwelling tracheoesophageal prosthesis for alaryngeal voice rehabilitation Arch Otolaryngol Head Neck Surg 125 288-292