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European Archives of Oto-Rhino-Laryngology

Published in:

03-04-2024 | Head and Neck

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

Authors: Ylenia Longobardi, Lucia D’Alatri, Valentina Francesca Brandi, Giorgia Mari, Maria Elisabetta Marenda, Maria Raffaella Marchese, Jacopo Galli, Claudio Parrilla

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2024

Abstract

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.

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Title: Automatic speaking valve in tracheo-esophageal speech: treatment proposal for a widespread usage
Authors: Ylenia Longobardi
Lucia D’Alatri
Valentina Francesca Brandi
Giorgia Mari
Maria Elisabetta Marenda
Maria Raffaella Marchese
Jacopo Galli
Claudio Parrilla
Publication date: 03-04-2024
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 6/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-024-08605-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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