nach oben

European Archives of Oto-Rhino-Laryngology

Erschienen in:

30.09.2023 | Head and Neck

Analysis of durability and replacement of vocal prostheses in total laryngectomy patients at a head and neck surgery referral center

verfasst von: Rafael Cardoso Pires, Ricardo Ribeiro Gama, Paulo Sérgio da Silveira Júnior, Fernanda Marsico Teixeira, Carlos Roberto Santos, Renato de Castro Capuzzo

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 1/2024

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The use of tracheoesophageal prostheses has become the gold standard in vocal rehabilitation of patients undergoing total laryngectomy. However, this method also has limitations, such as the need for frequent replacement of prostheses due to leakage or other complications. We have designed a study to access the clinical profile of patients using tracheoesophageal prostheses as vocal rehabilitation after total laryngectomy and to determine the average rate of changes, as well as the main causes of prostheses replacement.

Methods

A retrospective cohort study was performed based on patients who underwent rehabilitation with voice prostheses after total laryngectomy between 2008 and 2017.

Results

The sample consisted of 93 patients and 432 vocal prostheses replacement events. The median change of prostheses per patient was 210.25 days, (range 57.33 to 651.50). The most frequent cause of prostheses replacement was leakage through the prostheses, 218 (50.46%). Lower level of education was associated to higher prostheses replacement rate.

Conclusion

The results of this study show that the median of prostheses durability is higher than that presented in the literature, the main cause of replacement was protheses leakage and that low educational level is associated to higher replacement rate.

Singer MI, Blom ED (1980) An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 89(6):529–533. https://doi.org/10.1177/0003489480089006088CrossRefPubMed

Tong JY, Pasick LJ, Benito DA, Sataloff RT (2020) Complications associated with tracheoesophageal voice prostheses from 2010 to 2020: a MAUDE study. Am J Otolaryngol. 41(6):102652. https://doi.org/10.1016/j.amjoto.2020.102652CrossRefPubMed

Tang CG, Sinclair CF (2015) Voice restoration after total laryngectomy. Otolaryngol Clin N Am 48(4):687–702. https://doi.org/10.1016/j.otc.2015.04.013CrossRef

Chakravarty PD, McMurran AEL, Banigo A, Shakeel M, Ah-See KW (2018) Primary versus secondary tracheoesophageal puncture: systematic review and meta-analysis. J Laryngol Otol 132(1):14–21. https://doi.org/10.1017/S0022215117002390CrossRefPubMed

Cocuzza S, Maniaci A, Grillo C, Ferlito S, Spinato G, Coco S et al (2020) Voice-related quality of life in post-laryngectomy rehabilitation: tracheoesophageal fistula’s wellness. Int J Environ Res Public Health 17(12):4605. https://doi.org/10.3390/ijerph17124605CrossRefPubMedPubMedCentral

Bunting GW (2004) Voice following laryngeal cancer surgery: troubleshooting common problems after tracheoesophageal voice restoration. Otolaryngol Clin N Am 37(3):597–612. https://doi.org/10.1016/j.otc.2004.01.007CrossRef

Khan B, Ahmed S (2018) Systematic literature review of the complications of primary and secondary tracheoesophageal punctures in patients with laryngectomies for voice restoration. Morecambe Bay Med J. 8(1):24–30. https://doi.org/10.48037/mbmj.v8i1.53CrossRef

Lewin JS, Baumgart LM, Barrow MP, Hutcheson KA (2017) Device Life of the tracheoesophageal voice prosthesis revisited. JAMA Otolaryngol Head Neck Surg 143(1):65–71. https://doi.org/10.1001/jamaoto.2016.2771CrossRefPubMedPubMedCentral

Petersen JF, Lansaat L, Timmermans AJ, van der Noort V, Hilgers FJM, van den Brekel MWM (2019) Postlaryngectomy prosthetic voice rehabilitation outcomes in a consecutive cohort of 232 patients over a 13-year period. Head Neck 41(3):623–631. https://doi.org/10.1002/hed.25364CrossRefPubMedPubMedCentral

10.

Serra A, Di Mauro P, Spataro D, Maiolino L, Cocuzza S (2015) Post-laryngectomy voice rehabilitation with voice prosthesis: 15 years experience of the ENT Clinic of University of Catania. Retrospective data analysis and literature review. Acta Otorhinolaryngol Ital. 35(6):412–19. https://doi.org/10.14639/0392-100x-680CrossRefPubMedPubMedCentral

11.

Cornu AS, Vlantis AC, Elliott H, Gregor RT (2003) Voice rehabilitation after laryngectomy with the Provox voice prosthesis in South Africa. J Laryngol Otol 117(1):56–59. https://doi.org/10.1258/002221503321046658CrossRefPubMed

12.

Deshpande MS (2010) Prosthetic voice rehabilitation after total laryngectomy. Indian J Surg Oncol. 1(2):146–50. https://doi.org/10.1007/2Fs13193-010-0028-4CrossRefPubMedPubMedCentral

13.

Varghese JJ, Aithal VU, Suresh K, Bellur R, Balakrishnan R (2022) Voice prosthesis experience of Indian laryngectomees: preliminary findings from a tertiary hospital in South India. Clin Epidemiol Global Health. 16:101076. https://doi.org/10.1016/j.cegh.2022.101076CrossRef

14.

Scherl C, Kauffels J, Schützenberger A, Döllinger M, Bohr C, Dürr S et al (2020) Secondary tracheoesophageal puncture after laryngectomy increases complications with shunt and voice prosthesis. Laryngoscope 130(12):E865–E873. https://doi.org/10.1002/lary.28517CrossRefPubMed

15.

Hancock KL, Lawson NR, Ward EC (2013) Device life of the provox vega voice prosthesis. Eur Arch Otorhinolaryngol. 270(4):1447–53. https://doi.org/10.1007/2Fs00405-012-2154-9CrossRefPubMed

16.

Kress P, Schäfer P, Schwerdtfeger FP, Rösler S (2014) Are modern voice prostheses better? A lifetime comparison of 749 voice prostheses. Eur Arch Otorhinolaryngol 271(1):133–140. https://doi.org/10.1007/s00405-013-2611-0CrossRefPubMed

17.

Martins de Sousa M, Matos R, Vilarinho H, Santos M, Silveira H (2022) Voice rehabilitation with voice prosthesis: long term results, complications and risk factors. Acta Otorrinolaringologica Española. 73(4):219–224. https://doi.org/10.1016/j.otoeng.2021.05.002CrossRef

18.

Apert V, Carsuzaa F, Tonnerre D, Leclerc J, Lebreton J-P, Delagranda A, Dufour X (2022) Speech restoration with tracheoesophageal prosthesis after total laryngectomy: an observational study of vocal results, complications and quality of life. Eur Ann Otorhinolaryngol Head Neck Dis 139(2):73–76. https://doi.org/10.1016/j.anorl.2021.05.008CrossRefPubMed

19.

Graville D, Gross N, Andersen P, Everts E, Cohen J (1999) The long-term indwelling tracheoesophageal prosthesis for alaryngeal voice rehabilitation. Arch Otolaryngol Head Neck Surg 125(3):288–292. https://doi.org/10.1001/archotol.125.3.288CrossRefPubMed

20.

Lequeux T, Badreldin A, Saussez S, Thill MP, Oujjan L, Chantrain G (2003) A comparison of survival lifetime of the Provox and the Provox 2 voice prosthesis. J Laryngol Otol 117(11):875–878. https://doi.org/10.1258/002221503322542881CrossRefPubMed

21.

Hilgers FJ, Schouwenburg PF (1990) A new low-resistance, self retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy. Laryngoscope 100(11):1202–1207. https://doi.org/10.1288/00005537-199011000-00014CrossRefPubMed

22.

Op de Coul BM, Hilgers FJ, Balm AJ, Tan IB, van den Hoogen FJ, van Tinteren H (2000) A decade of postlaryngectomy vocal rehabilitation in 318 patients: a single institution`s experience with consistent application of provox indwelling voice prostheses. Arch Otolaryngol Head Neck Surg. 126(11):1320–8. https://doi.org/10.1001/archotol.126.11.1320CrossRef

23.

Terada T, Saeki N, Toh K, Uwa N, Sagawa K, Takayasu S et al (2007) Voice rehabilitation with provox2™ voice prosthesis following total laryngectomy for laryngeal and hypopharyngeal carcinoma. Auris Nasus Larynx 34(1):65–71. https://doi.org/10.1016/j.anl.2006.09.017CrossRefPubMed

24.

Ahmad I, Kumar BN, Radford K, O’Connell J, Batch AJ (2000) Surgical voice restoration following ablative surgery for laryngeal and hypopharyngeal carcinoma. J Laryngol Otol 114(7):522–525. https://doi.org/10.1258/0022215001906282CrossRefPubMed

25.

Aust MR, McCaffrey TV (1997) Early speech results with the provox prosthesis after laryngectomy. Arch Otolaryngol Head Neck Surg 123(9):966–968. https://doi.org/10.1001/archotol.1997.01900090080011CrossRefPubMed

26.

Yenigun A, Eren SB, Ozkul MH, Tugrul S, Meric A (2015) Factors influencing the longevity and replacement frequency of Provox voice prostheses. Singapore Med J. 56(11):632–6. https://doi.org/10.11622/2Fsmedj.2015173CrossRefPubMedPubMedCentral

27.

Guibu IA, de Moraes JC, Guerra Junior AA, Costa EA, Acurcio FA, Costa KS et al (2017) Características principais dos usuários dos serviços de atenção primária à saúde no Brasil. Rev Saude Publica 51(2):17sCrossRefPubMedPubMedCentral

28.

Silva ZP, Ribeiro MCSA, Barata RB, Almeida MF (2011) Perfil sociodemográfico e padrão de utilização dos serviços de saúde do Sistema Único de Saúde (SUS), 2003–2008. Cien Saude Colet 16(9):3807–3816. https://doi.org/10.1590/S1413-81232011001000016CrossRefPubMed

29.

Krishnamurthy A, Khwajamohiuddin S (2018) Analysis of factors affecting the longevity of voice prosthesis following total laryngectomy with a review of literature. Indian J Surg Oncol 9(1):39–45. https://doi.org/10.1007/s13193-017-0700-zCrossRefPubMed

30.

Gitomer SA, Hutcheson KA, Christianson BL, Samuelson MB, Barringer DA, Roberts DB et al (2016) Influence of timing, radiation, and reconstruction on complications and speech outcomes with tracheoesophageal puncture. Head Neck 38(12):1765–1771. https://doi.org/10.1002/hed.24529CrossRefPubMedPubMedCentral

31.

Costa CC, Rapoport A, Chagas JF, Oliveira IB, Castro PD, Magna LA (2001) Reabilitação vocal de laringectomizados com prótese traqueoesofágica. Braz J Otorhinolaryngol 67(5):707–714. https://doi.org/10.1590/S0034-72992001000500017CrossRef

32.

Kruschewsky LD, Freitas LC, Nakamura E, Mamede RC, Mello-Filho FV, Rics L (2002) Complicações decorrentes do uso de prótese vocal. Acta Cir Bras 17(3):116–120. https://doi.org/10.1590/S0102-86502002000900024CrossRef

33.

Fagan JJ, Lentin R, Oyarzabal MF, Isaacs S, Sellars SL (2002) Tracheoesophageal speech in a developing world community. Arch Otolaryngol Head Neck Surg 128(1):50–53. https://doi.org/10.1001/archotol.128.1.50CrossRefPubMed

Titel: Analysis of durability and replacement of vocal prostheses in total laryngectomy patients at a head and neck surgery referral center
verfasst von: Rafael Cardoso Pires
Ricardo Ribeiro Gama
Paulo Sérgio da Silveira Júnior
Fernanda Marsico Teixeira
Carlos Roberto Santos
Renato de Castro Capuzzo
Publikationsdatum: 30.09.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 1/2024
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08180-w

Correction: The influence of intraoperative auditory brainstem responses on vibroplasty coupling-quality and analysis of the impact of different fixation steps on the coupling

Open Access
Correction

Bi-sensory stimulation as a treatment option for somatic tinnitus

Letter to the Editor

Trans-mastoid plugging of superior semicircular canal dehiscence: long-term follow-up

Otology

Traditional Chinese medicine treatment in sinusitis after radiotherapy for nasopharyngeal carcinoma: a systematic review and network meta-analysis

Open Access
Review Article

Olfactory training with four and eight odors: comparison with clinical testing and olfactory bulb volumetrics

Open Access
Short Communication

Occupational variation in incidence of oropharyngeal cancer in the Nordic countries

Open Access
Head and Neck

Neu im Fachgebiet HNO

Die elektronische Patientenakte kommt: Das sollten Sie jetzt wissen

12.01.2025
Elektronische Patientenakte
Nachrichten

Am 15. Januar geht die „ePA für alle“ zunächst in den Modellregionen an den Start. Doch schon bald soll sie in allen Praxen zum Einsatz kommen. Was ist jetzt zu tun? Was müssen Sie wissen? Wir geben in einem FAQ Antworten auf 21 Fragen.

Kopf-Hals-Tumore: Lebensqualität von Langzeitüberlebenden

08.01.2025
HNO-Tumoren
Nachrichten

Eine aktuelle Studie des Universitätsklinikums Erlangen verdeutlicht, dass Langzeitüberlebende von Kopf-Hals-Tumoren eine geringe Symptomlast aufweisen. Die am häufigsten auftretenden Beschwerden – Müdigkeit, Angstzustände, Schläfrigkeit und Schmerzen – sollten von den behandelnden Ärztinnen und Ärzten gezielt adressiert werden.

Schlafapnoe – es lag an einer verbogenen Nasenscheidewand

07.01.2025
Obstruktive Schlafapnoe
Nachrichten

Tritt eine obstruktive Schlafapnoe vor allem in einer bestimmten Seitenlage auf, kann dies auch an einem verbogenen Nasenseptum liegen. Eine Septumplastik lindert die Beschwerden mitunter deutlich.

Das alles ändert sich für Arztpraxen in 2025

31.12.2024
EBM
Nachrichten

Ab Januar greifen jede Menge Neuerungen – ob im EBM, Arbeits- und Steuerrecht oder bei der digitalen Vernetzung. Darunter einige Verbesserungen, aber teils auch Mehraufwand. „Same procedure as every year?“ – Ein Überblick.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Analysis of durability and replacement of vocal prostheses in total laryngectomy patients at a head and neck surgery referral center