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Voice rehabilitation after laryngectomy with the Provox® voice prosthesis in South Africa

Published online by Cambridge University Press:  08 March 2006

Anne-Sophie Cornu ,
Alexander C. Vlantis ,
Haley Elliott  and
R. Theo Gregor
Anne-Sophie Cornu
Affiliation:
Departments of Otolaryngology, Head and Neck Surgery and Speech, Stellenbosch University and Tygerberg Academic Hospital , Tygerberg, South Africa.
Alexander C. Vlantis
Affiliation:
Departments of Otolaryngology, Head and Neck Surgery and Speech, Stellenbosch University and Tygerberg Academic Hospital , Tygerberg, South Africa.
Haley Elliott
Affiliation:
Language and Hearing Therapy Stellenbosch University and Tygerberg Academic Hospital , Tygerberg, South Africa.
R. Theo Gregor
Affiliation:
Departments of Otolaryngology, Head and Neck Surgery and Speech, Stellenbosch University and Tygerberg Academic Hospital , Tygerberg, South Africa.
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Abstract

A study was undertaken to determine whether the Provox® voice prosthesis provides good voice rehabilitation following a total laryngectomy in the urban, suburbanand rural populations served by a tertiary referral hospital in South Africa.

Between 1995 and 1999, a cohort of 128 patients at Tygerberg Hospital was rehabilitated with the Provox™ voice prosthesis after laryngectomy. In 104 patients primary placement of the prosthesis was done at the time of the laryngectomy. Mean device life and adverse events were determined. Voice quality was assessed subjectively in 104 patients and objectively in 26 patients.

The mean device life was 303 days and adverse events occurred in 16 patients. Subjectively, 77 of 104 patients had a good voice, and objectively 22 of 26 patients had good voice intelligibility. The Provox® voice prosthesis provides good voice rehabilitation following total laryngectomy, with minimal complications, in the population served by Tygerberg Hospital.

Keywords

LaryngectomyProstheses and ImplantsTreatment Outcome
Type
Other
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 1 , January 2003 , pp. 56 - 59
Copyright
© Royal Society of Medicine Press Limited 2003

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