[MOL] LARYNGECTOMY PATIENTS PERSEVERE WITH INDWELLING VOICE PROSTHESIS [01166] Medicine On Line


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[MOL] LARYNGECTOMY PATIENTS PERSEVERE WITH INDWELLING VOICE PROSTHESIS



Good Day My Friends,

Very active this morning in research for new therapies. It is
encouraging to see that there are the latest and newest techniques
available in the battle for cure.

Hope this is another method that will be encouraging for you.

LARYNGECTOMY PATIENTS PERSEVERE WITH INDWELLING VOICE PROSTHESIS
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AMSTERDAM--A 10-year follow up of total laryngectomy patients who use
an indwelling voice prosthesis finds that they tend to have good 
voice quality even though the device must be replaced often.

A team of physicians at the Netherlands Cancer Institute, where the 

Provox and Provox 2 indwelling voice prostheses were developed, found 
that 88% of 318 patients who were followed for an average of 67 
months achieved fair to excellent voice quality with the device. 
Atos Medical, which makes the device, says it ís second in popularity 
in the U.S. only to the pioneering Blom-Singer prosthesis.

At the end of the study,95% of 183 patients still alive were using a 
prosthesis, Dr. Frans J. M. Hilgers and colleagues here reported in 
the November Archives of Otolaryngology-Head and Neck Surgery. 
Devices lasted an average of 163 days, and over 10 years patients 
went through an average of 8.5 units (range 1-55).

The prosthesis lasted longest in patients who did not have 
radiotherapy and in patients older than 70. In 30% of the patients,
the device was replaced every three months or less, three to six 

months in 40%, and after more than six months in the remaining 30%. 

The main reasons for replacement were leakage through the prosthesis 
(73%), obstruction (4%), leakage around the prosthesis (13%), and 
hypertrophy or infection of the fistula (7%).


God Bless You all,
marty auslander
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