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Evaluation of Customized Prosthesis for Irregularly Formed Tracheostoma After Laryngectomy.

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Title: Evaluation of Customized Prosthesis for Irregularly Formed Tracheostoma After Laryngectomy.
Authors: Doescher, Johannes, Scheckenbach, Kathrin, Angerstein, Wolfgang, Veit, Johannes A., Laban, Simon, Thierauf, Julia, Theodoraki, Marie-Nicole, Greve, Jens, Schuler, Patrick J., Hoffmann, Thomas K.
Source: Annals of Otology, Rhinology & Laryngology. Feb2016, Vol. 125 Issue 2, p145-150. 6p.
Subjects: Prosthetics, Laryngectomy, Questionnaires, Human voice, Tracheotomy equipment
Abstract: Background: After laryngectomy, the tracheostoma forms the functional center for breathing and phonation. An occasionally occurring but typical problem can arise from an oversized and/or irregularly formed tracheostoma, hampering the temporary occlusion necessary for sufficient speech production. As an alternative to a surgical correction of the tracheostoma, an individually adjusted stoma silicone prosthesis may be used. Materials and Methods: Twenty-one patients suffering from irregularly formed tracheostoma after laryngectomy followed by insertion of a speech valve were provided with a silicone tracheostomal prosthesis. They underwent subjective assessment of voice quality and breathing function according to a standardized general questionnaire and to the Voice Handicap Index (VHI). Furthermore, a clinical evaluation was performed including detection of peristomal leakage and phonation time. Results and Discussion: Patients described a significant improvement of voice production with the tracheostomal prosthesis (averagely graded as 1.9 with and 3.2 without prosthesis, P = .0026). Breathing was also slightly improved by the prosthesis with an average grade of 1.7 compared to 2.3 with a conventional cannula (P = .063). There was a strong correlation between self-evaluation and the total score of the VHI after insertion of the prosthesis (P < .0001). Minor local skin reactions caused by the adhesive were described by 5 of the 21 patients. Conclusions: A tracheostomal prosthesis represents an efficient alternative to surgical revision of irregularly formed tracheostoma after laryngectomy, enhancing voice production and breathing function. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Evaluation of Customized Prosthesis for Irregularly Formed Tracheostoma After Laryngectomy.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Doescher%2C+Johannes%22&quot;&gt;Doescher, Johannes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Scheckenbach%2C+Kathrin%22&quot;&gt;Scheckenbach, Kathrin&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Angerstein%2C+Wolfgang%22&quot;&gt;Angerstein, Wolfgang&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Veit%2C+Johannes+A%2E%22&quot;&gt;Veit, Johannes A.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Laban%2C+Simon%22&quot;&gt;Laban, Simon&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Thierauf%2C+Julia%22&quot;&gt;Thierauf, Julia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Theodoraki%2C+Marie-Nicole%22&quot;&gt;Theodoraki, Marie-Nicole&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Greve%2C+Jens%22&quot;&gt;Greve, Jens&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Schuler%2C+Patrick+J%2E%22&quot;&gt;Schuler, Patrick J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hoffmann%2C+Thomas+K%2E%22&quot;&gt;Hoffmann, Thomas K.&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Prosthetics%22&quot;&gt;Prosthetics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Laryngectomy%22&quot;&gt;Laryngectomy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Questionnaires%22&quot;&gt;Questionnaires&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Human+voice%22&quot;&gt;Human voice&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Tracheotomy+equipment%22&quot;&gt;Tracheotomy equipment&lt;/searchLink&gt;
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  Data: Background: After laryngectomy, the tracheostoma forms the functional center for breathing and phonation. An occasionally occurring but typical problem can arise from an oversized and/or irregularly formed tracheostoma, hampering the temporary occlusion necessary for sufficient speech production. As an alternative to a surgical correction of the tracheostoma, an individually adjusted stoma silicone prosthesis may be used. Materials and Methods: Twenty-one patients suffering from irregularly formed tracheostoma after laryngectomy followed by insertion of a speech valve were provided with a silicone tracheostomal prosthesis. They underwent subjective assessment of voice quality and breathing function according to a standardized general questionnaire and to the Voice Handicap Index (VHI). Furthermore, a clinical evaluation was performed including detection of peristomal leakage and phonation time. Results and Discussion: Patients described a significant improvement of voice production with the tracheostomal prosthesis (averagely graded as 1.9 with and 3.2 without prosthesis, P = .0026). Breathing was also slightly improved by the prosthesis with an average grade of 1.7 compared to 2.3 with a conventional cannula (P = .063). There was a strong correlation between self-evaluation and the total score of the VHI after insertion of the prosthesis (P &lt; .0001). Minor local skin reactions caused by the adhesive were described by 5 of the 21 patients. Conclusions: A tracheostomal prosthesis represents an efficient alternative to surgical revision of irregularly formed tracheostoma after laryngectomy, enhancing voice production and breathing function. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Annals of Otology, Rhinology &amp; Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1177/0003489415601686
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        Text: English
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      – SubjectFull: Prosthetics
        Type: general
      – SubjectFull: Laryngectomy
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Human voice
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      – TitleFull: Evaluation of Customized Prosthesis for Irregularly Formed Tracheostoma After Laryngectomy.
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