Investigation of tracheoesophageal voice prosthesis leakage patterns: patient's self-report versus clinician's confirmation

Head & Neck
Lynn M ActonSteven B Leder

Abstract

This study investigated the patient's self-report and clinician's confirmation of tracheoesophageal voice prosthesis leakage patterns (through or around) with or without the cough reflex and whether prosthesis diameter affected the leakage route. Sixty-six consecutive participants with a total of 200 patient-initiated reasons for prosthesis changes were enrolled prospectively. Patient's self-report of leakage and cough reflex were recorded prior to clinician's confirmation. One-hundred eight (54%) of the 200 patient-initiated reasons for prosthesis changes were leakage through or around the voice prosthesis. Leakage was unrecognized in 21 (23%) of 92 instances, even though 15 (71%) of those 21 instances exhibited a cough reflex. Clinician's confirmed leakage in 118 (59%) of 200 patient-initiated reasons for prosthesis changes. Coughing occurred significantly less with leakage around (9 [53%] of 17 instances) than that with leakage through the voice prosthesis (80 [88%] of 91 instances) (chi(2) [1, N=108], p< .05). Leakage around the voice prosthesis occurred more with 20-Fr diameter prostheses (16 [76%] of 21 instances). Patient education is important for reliable identification of leakage for prompt prosthesis replacement. Lea...Continue Reading

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Citations

May 7, 2013·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·Mohammad Kamal MobashirAhmed M Anany
Nov 10, 2009·Acta Oto-laryngologica·Frans J M HilgersMichiel W M van den Brekel
Apr 22, 2015·American Journal of Otolaryngology·Matthew R NaunheimDaniel G Deschler
Dec 12, 2012·European Annals of Otorhinolaryngology, Head and Neck Diseases·O ChoussyD Dehesdin
Nov 19, 2014·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·Kai J Lorenz
Apr 4, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Adam ShakirJames Grant Burgess
Dec 15, 2015·The Annals of Otology, Rhinology, and Laryngology·Matthew R NaunheimDaniel G Deschler
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Heather M StarmerChristine G Gourin
Dec 13, 2017·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Teng ZhangIan J Cook
Jul 10, 2019·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Emine Deniz GozenEmin Karaman
Jan 19, 2020·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·Ana Danic HadzibegovicDavorin Danic

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