LONG-TERM RESULTS OF VOCAL REHABILITATION AFTER TOTAL LARYNGECTOMY WITH THE LOW-RESISTANCE, INDWELLING PROVOX(TM) VOICE PROSTHESIS SYSTEM

被引:84
作者
HILGERS, FJM [1 ]
BALM, AJM [1 ]
机构
[1] NETHERLANDS CANC INST,DEPT OTOLARYNGOL HEAD & NECK SURG,1066 CX AMSTERDAM,NETHERLANDS
来源
CLINICAL OTOLARYNGOLOGY | 1993年 / 18卷 / 06期
关键词
TOTAL LARYNGECTOMY; PROSTHETIC VOICE REHABILITATION; PROVOX(TM); COMPLICATIONS;
D O I
10.1111/j.1365-2273.1993.tb00627.x
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
A low-resistance indwelling prosthesis for vocal rehabilitation after total laryngectomy, Provox(TM) was developed in the Netherlands Cancer Institute 5 years ago. The long-term results in 132 patients using this prosthesis are now reported. The mean and median device life of the prosthesis in the 75 patients in long-term follow-up are 235 and 141 days respectively. Good to fair vocal rehabilitation was achieved in 92% of the patients. Statistical analysis revealed a significant relationship of the device life with the original tumour site (P = 0.0078). Radiotherapy had a borderline (P = 0.0652) negative influence on the device life but not on prosthesis-related complications. Increasing follow-up time has a positive influence on the device life of the prosthesis (P < 0.0001).
引用
收藏
页码:517 / 523
页数:7
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