Automatic speaking valve in tracheo-esophageal speech: treatment proposal for a widespread usage.

Autor: Longobardi Y; Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'InvecchiamentoNeurologicheOrtopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Roma, Italia., D'Alatri L; Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'InvecchiamentoNeurologicheOrtopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Roma, Italia. lucia.dalatri@unicatt.it.; Sezione di Otorinolaringoiatria, Dipartimento Universitario Testa-collo e organi di senso, Università Cattolica del Sacro Cuore, Roma, Italia. lucia.dalatri@unicatt.it., Brandi VF; Rome, Italy., Mari G; Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'InvecchiamentoNeurologicheOrtopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Roma, Italia., Marenda ME; Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'InvecchiamentoNeurologicheOrtopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Roma, Italia., Marchese MR; Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'InvecchiamentoNeurologicheOrtopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Roma, Italia., Galli J; Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'InvecchiamentoNeurologicheOrtopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Roma, Italia.; Sezione di Otorinolaringoiatria, Dipartimento Universitario Testa-collo e organi di senso, Università Cattolica del Sacro Cuore, Roma, Italia., Parrilla C; Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'InvecchiamentoNeurologicheOrtopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Roma, Italia.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Jun; Vol. 281 (6), pp. 3197-3205. Date of Electronic Publication: 2024 Apr 03.
DOI: 10.1007/s00405-024-08605-0
Abstrakt: Purpose: Aim of this study was to calculate the percentage of the Automatic Speaking Valve (ASV) use in a large cohort of laryngectomized patients with voice prosthesis (VP) and to analyze the main reasons for non-use. Subsequently, a specific rehabilitation training was proposed.
Methods: One hundred-ten laryngectomized patients with VP were enrolled in the first phase of the study (census). Among them, 57 patients were included in the second phase (intervention), in which a training based on moving phonatory exercises was proposed. Structured questionnaires were used before and after training in order to investigate ASV use rate (days/week and hours/day; reasons for impeding the ASV use), average adhesive life-time during ASV use; hands-free speech duration; skin irritation. Patients also expressed their degree of on a VAS scale from 0 to 100.
Results: In the census phase the percentage of use of ASV (everyday, without problems) was equal to 17.27% (19/110 patients). The main causes of disuse concerned excessive fatigue and poor durability of the adhesives. The analysis of the results pre vs. post-training showed a statistically significant increase (p < 0.05) in all the investigated parameters. Patients reported a good level of treatment compliance (average frequency of performing exercises equal to 4.2 ± 2.5 days/week for 1.4 ± 1.01 h/day) and high degrees of satisfaction. After treatment, the percentage of use of AVS increased by 43% reaching a rate of 60% (66/110 patients).
Conclusion: A specific and targeted approach that simulate the phonatory and breathing difficulties of everyday life can increase the ASV usage rate.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: