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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

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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.

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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

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