Evaluation of post total laryngectomy voice rehabilitation by Provox®2 voice prosthesis (preliminary study) | ||
| Egyptian Journal of Neck Surgery and Otorhinolaryngology | ||
| Article 2, Volume 5, Issue 2, June 2019, Pages 9-21 PDF (310.78 K) | ||
| DOI: 10.21608/ejnso.2019.57904 | ||
| Authors | ||
| A K Abdel-Haleem; E S Hasan; M M Roushdy; M R Abdel-Wahab | ||
| Abstract | ||
| Introduction: Tracheo-esophageal puncture (TEP) with inserting a silicon prosthesis is the gold standard for voice rehabilitation after total laryngectomy (TL). Provox® is an indwelling voice prosthesis which is widely used nowadays. Objective: to evaluate the outcomes of Provox®2 voice prosthesis in vocal rehabilitation after total laryngectomy. Patients and methods: Sixteen patients who had inserted Provox®2 voice prosthesis after total laryngectomy were subjected to history taking, general ENT examination and neck examination. Patients were evaluated for voice outcome two months after the application of the Provox®2 by the maximum phonation time (MPT), Perceptual voice quality analysis by GRBAS scale, Speech intelligibility and Patient’s satisfaction. Results: We found that the production of 100% intelligible voice with a good MPT and quality of voice (assessed by GRBAS scale) using a device with an average life of 375 days would be considered as favorable. Conclusions: The use of Provox®2 voice prosthesis is a safe and satisfactory method for post total laryngectomy voice rehabilitation. | ||
| Keywords | ||
| Total laryngectomy; Provox®2; Tracheo-esophageal puncture | ||
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