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- W89204600 abstract "Background and Objec- tives: Voice restoration after total laryngecto- my is of outmost importance for patient and a therapeutic challenge for the surgeon and speech pathologist. Among various rehabilita- tion methods prosthetic voice yields nowa- days the best results. Patients and Methods: A total of 12 pa- tients underwent laryngectomy at the Depart- ment of Otorhinolaryngology, University Hos- pital, Patras, Greece, between February 2006 and May 2007. All patients had advanced la- ryngeal squamous cell carcinoma. Eight pa- tients had primary voice prosthesis inserted and four patients had a tracheo-esophageal puncture (TEP) carried out as a secondary procedure. Results: The majority of the patients (80%) from both the primary insertion or the sec- ondary insertion group, developed good and understood speech using the prosthesis. No significant difference in quality of speech was found between the two subgroups. Four pa- tients required replacement of the prosthesis at intervals of 8 and 10 months after insertion, because of salivary leakage and granulation formation around the fistula, while 3 patients developed a mild mucositis and tracheitis due to postoperative radiotherapy. Discussion: TEP puncture and prosthesis insertion is a relatively simple, safe and effec- tive surgical procedure for voice restoration after laryngectomy. Provox 2 (generation II) voice prosthesis is a new and useful modified device that has overcome the previous pros- thesis drawbacks, is well tolerated by the pa- tients and can be easily changed via the front- loading technique." @default.
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- W89204600 date "2008-09-01" @default.
- W89204600 modified "2023-09-26" @default.
- W89204600 title "Voice restoration after total laryngectomy using provox 2 (generation II) prosthesis." @default.
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