Complications of voice prosthesis and analysis of tracheoesophageal voice after total laryngectomy.

Xenia Mota Rojas, María Martín Bailón, Clara García Bastida, Pedro Vaamonde Lago, Isabel Mínguez Beltrán, Eduardo Rodrigo Cabanas Rodriguez, Carlos Martín Martín

Resumen

Introduction:Tracheoesophageal puncture (TEP) has been shown to be an effective method for speech restoration after laryngectomy. This study aims to evaluate the TEP-related complications and to assess the voice quality outcomes. 

Material and methods:Descriptive-ambispective study of laryngectomee rehabilitated by TEP between 2010 and 2017 in a tertiary hospital. Complications, such as salivary leakages, and their association with other factors were analyzed. A p-value <0.05 was considered statistically significant. Prospectively, we performed an acoustic analysis of voice in a subgroup of patients. 

Results: TEP was placed primarily in 88.2%. Thirty-nine percent of patients had salivary leakage. The average number of replacements per year was 1.6. Tumor stage and salivary leakage were significantly associated found (p=0.015), but radiotherapy was not (p=0.67).Eighty-nine percent of patients used TEP as their usual communication method. 

Conclusions:Tracheoesophageal voice is highly effective method but entails frequent complications, requiring close monitoring, although most are fixed easily in clinic.

 

Palabras clave

Laryngectomy; Tracheoesophageal Puncture; Voice Prostheses; Rehabilitation of Speech and Language Disorders; Voice Quality; Speech Acoustics.

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Referencias

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