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Tracheostoma valve for speech rehabilitation in laryngectomees

  • Waryam Singh (a1)

Abstract

In the newer surgical procedures for fistula speech, finger occlusion of the tracheostoma is mandatory for speech production. This can be embarrassing as it draws attention to the patient's stoma. Finger occlusion is unhygienic and at times inconvenient. A new tracheostoma valve has been designed to eliminate the need for finger occlusion for speech. It has been evaluated clinically in nine laryngectomees, all of whom retained a good objective quality of speech similar to that obtained by finger occlusion. Vocal efficiency measurements with the valve are very encouraging. The valve is simple to use, of universal size, self-retaining, does not need any skin cleansing and obviates the need for skin adhesives to hold the valve in place.

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Corresponding author

Waryam Singh, F.R.C.S., Consultant Otolaryngologist, Department of Otolaryngology, Bangour General Hospital, Broxburn, West Lothian, Scotland.

References

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Asai, R. (1960) Laryngoplasty. Journal of the Japan Broncho-oesophagological Society, 12: 13.
Blom, E. D., Singer, M. I. and Hamaker, R. C. (1982) Tracheostoma valve for post-laryngectomy voice rehabilitation. Annals of Otology, Rhinology and Laryngology, 91: 576578.
Singer, M. I. and Blom, E. D. (1980) An endoscopic technique for restoration of voice after laryngec-tomy. Annals of Otology, Rhinology and Laryngology, 89, 529533.
Singh, W. and Hardcastle, P. (1985) Near total laryngectomy with myomucosal valved neoglottis. Journal of Laryngology and Otology, 99: 581588.
Staffieri, M. (1976) La Chirirgia Riabilitiva della Voce Dopo Laringectomia Totale. In: Associazione Otologi Ospedalieri Italiani XXIX.Congress Nazionale,Bologna,5: p. 222.
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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