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Article: Long-term performance of indwelling tracheoesophageal speaking valves in Chinese patients undergoing laryngectomy

TitleLong-term performance of indwelling tracheoesophageal speaking valves in Chinese patients undergoing laryngectomy
Authors
Issue Date2005
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archoto.com
Citation
Archives Of Otolaryngology - Head And Neck Surgery, 2005, v. 131 n. 11, p. 954-958 How to Cite?
AbstractObjectives: To assess the use of indwelling tracheoesophageal speaking valves in Chinese patients undergoing laryngectomy, to identify the clinicopathologic factors for favorable outcome, and to evaluate the factors that determine prosthesis lifetime. Design: Retrospective review. Setting: Tertiary care institution. Patients: Sixty consecutive patients with total laryngectomy were included. All had indwelling tracheoesophageal speaking valves for voice restoration. Intervention: Anterograde replacement of voice prosthesis in case of failure of functional speech production or leakage of saliva. Main Outcome Measures: Incidence of successful tracheoesophageal speech rehabilitation for daily communication, influence of different clinicopathologic factors on the outcome, and prosthesis lifetime and its relationship to different clinicopathologic factors. Results: The success rate of speech rehabilitation was 78%. Age younger than 60 years was the only clinicopathologic factor associated with successful speech rehabilitation (P=.04, Fisher exact test). The median device lifetime was 8.2 months. Both age of 60 years or older and the use of subsequent prosthetic valves were identified as risk factors for valve failure on univariate analysis (n=192; log-rank test; P=.02 and P=.03, respectively), with age of 60 years or older as the only risk factor that reduced the device lifetime in the Cox proportional hazards model (P=.03; relative hazard ratio, 1.5; 95% confidence interval, 1.1-2.4). Conclusions: Our success rate in using indwelling tracheoesophageal speaking valves was comparable to that reported in the Western literature. The median device lifetime of 8.2 months was satisfactory. Patient age was found to be a significant predictor of successful tracheoesophageal speech rehabilitation, with age of 60 years or more adversely affecting device lifetime. ©2005 American Medical Association. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/172891
ISSN
2014 Impact Factor: 2.327
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, PKYen_US
dc.contributor.authorHo, WKen_US
dc.contributor.authorHo, ACWen_US
dc.contributor.authorNg, RWMen_US
dc.contributor.authorYuen, APWen_US
dc.contributor.authorWei, WIen_US
dc.date.accessioned2012-10-30T06:25:35Z-
dc.date.available2012-10-30T06:25:35Z-
dc.date.issued2005en_US
dc.identifier.citationArchives Of Otolaryngology - Head And Neck Surgery, 2005, v. 131 n. 11, p. 954-958en_US
dc.identifier.issn0886-4470en_US
dc.identifier.urihttp://hdl.handle.net/10722/172891-
dc.description.abstractObjectives: To assess the use of indwelling tracheoesophageal speaking valves in Chinese patients undergoing laryngectomy, to identify the clinicopathologic factors for favorable outcome, and to evaluate the factors that determine prosthesis lifetime. Design: Retrospective review. Setting: Tertiary care institution. Patients: Sixty consecutive patients with total laryngectomy were included. All had indwelling tracheoesophageal speaking valves for voice restoration. Intervention: Anterograde replacement of voice prosthesis in case of failure of functional speech production or leakage of saliva. Main Outcome Measures: Incidence of successful tracheoesophageal speech rehabilitation for daily communication, influence of different clinicopathologic factors on the outcome, and prosthesis lifetime and its relationship to different clinicopathologic factors. Results: The success rate of speech rehabilitation was 78%. Age younger than 60 years was the only clinicopathologic factor associated with successful speech rehabilitation (P=.04, Fisher exact test). The median device lifetime was 8.2 months. Both age of 60 years or older and the use of subsequent prosthetic valves were identified as risk factors for valve failure on univariate analysis (n=192; log-rank test; P=.02 and P=.03, respectively), with age of 60 years or older as the only risk factor that reduced the device lifetime in the Cox proportional hazards model (P=.03; relative hazard ratio, 1.5; 95% confidence interval, 1.1-2.4). Conclusions: Our success rate in using indwelling tracheoesophageal speaking valves was comparable to that reported in the Western literature. The median device lifetime of 8.2 months was satisfactory. Patient age was found to be a significant predictor of successful tracheoesophageal speech rehabilitation, with age of 60 years or more adversely affecting device lifetime. ©2005 American Medical Association. All rights reserved.en_US
dc.languageengen_US
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archoto.comen_US
dc.relation.ispartofArchives of Otolaryngology - Head and Neck Surgeryen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshDisease-Free Survivalen_US
dc.subject.meshEsophagus - Pathology - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshHypopharyngeal Neoplasms - Epidemiology - Rehabilitation - Surgeryen_US
dc.subject.meshLaryngeal Neoplasms - Epidemiology - Rehabilitation - Surgeryen_US
dc.subject.meshLaryngectomyen_US
dc.subject.meshLarynx, Artificialen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOropharyngeal Neoplasms - Epidemiology - Rehabilitation - Surgeryen_US
dc.subject.meshProsthesis Designen_US
dc.subject.meshPuncturesen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshTimeen_US
dc.subject.meshTongue Neoplasms - Epidemiology - Rehabilitation - Surgeryen_US
dc.subject.meshTrachea - Pathology - Surgeryen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleLong-term performance of indwelling tracheoesophageal speaking valves in Chinese patients undergoing laryngectomyen_US
dc.typeArticleen_US
dc.identifier.emailWei, WI: hrmswwi@hku.hken_US
dc.identifier.authorityWei, WI=rp00323en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1001/archotol.131.11.954en_US
dc.identifier.pmid16301365-
dc.identifier.scopuseid_2-s2.0-28144456775en_US
dc.identifier.hkuros116864-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-28144456775&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume131en_US
dc.identifier.issue11en_US
dc.identifier.spage954en_US
dc.identifier.epage958en_US
dc.identifier.isiWOS:000233252100003-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLam, PKY=7202366058en_US
dc.identifier.scopusauthoridHo, WK=7402968844en_US
dc.identifier.scopusauthoridHo, ACW=16202695800en_US
dc.identifier.scopusauthoridNg, RWM=7102153861en_US
dc.identifier.scopusauthoridYuen, APW=7006290111en_US
dc.identifier.scopusauthoridWei, WI=7403321552en_US

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