Overview of 100 patients with voice prosthesis after total laryngectomy--experience of single institution

Scientific paper - Original scientific paper

• Title (croatian): Pregled 100 bolesnika sa govornom protezom nakon totalne laringektomije
• Author: Juraj Lukinović
• Author: Mario Bilić
• Author: Ivan Raguž
• Author: Tamara Živković
• Author: Lana Kovač-Bilić
• Author: Drago Prgomet
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

Surgical procedures, especially total laryngectomy, used for treatment of advanced laryngeal carcinoma, have a profound adverse effect on the patient's physical, functional, and emotional health, and almost always decrease quality of life. There are three main types of voice rehabilitation after surgery. They are: esophageal speech techniques, the use of artificial larynx devices and tracheoesophageal puncture with the insertion of various types of voice prostheses. Voice prosthesis was inserted in 100 patients in the ENT Department, University Hospital Center Zagreb, from January 2004 until February 2011, and 91 of these patients were included in our study. The prosthesis was inserted secondary at 71 patients, while in other 20 it was inserted primary, i.e. immediately after laryngectomy as a part of the same procedure. Voice rehabilitation was initiated 10th day after primary insertion and 1st-3rd day after secondary insertion. The postoperative voice quality was compared with a five degree scale, which was taken from Hilger's retrospective study (2000). The rehabilitation was successful in 75.8% of our patients. Early complication rate was 4.4%, and 10.9% of patients had late complications. Statistical analysis didn't show significant differences regarding the complications rate and success rate of rehabilitation between groups of patients, formed according to age, irradiation status and timing of prosthesis insertion.

Abstract (croatian)

Kirurški zahvati koji se koriste u liječenju karcinoma grkljana, a posebno totalna laringektomija, imaju izražen
negativni učinak na fizičko, funkcionalno i emocionalno zdravlje bolesnika i gotovo uvijek snižavaju životnu kvalitetu
bolesnika. Postoje tri glavne skupine glasovne rehabilitacije nakon zahvata. To su: ezofagealni govor, govor upotrebom
elektrolarinksa i traheoezofagealna fistulizacija sa ugradnjom govorne proteze. Na Klinici za otorinolaringologiju KBC
Zagreb je ugrađeno 100 govornih proteza od siječnja 2004. do veljače 2011. U studiju je uvršten 91 bolesnik. Kod 71
bolesnika su one ugrađene sekundarno, a kod 20 primarno, dakle istodobno kada i laringektomija. Rehabilitacija je
započimana 10. dana nakon primarne ugradnje, te već 1.–3. nakon sekundarne ugradnje. Postoperativna kvaliteta glasa
je uspoređivana sa 5 stupanjskom ljestvicom, uzetom iz Hilgerove retrospektivne studije (2000.). 75,8% bolesnika je
uspješno rehabilitirano, uz stopu ranih komplikacija 4,4%. Stopa kasnih komplikacija je bila 10,9%. Statistička analiza
nije pokazala značajne razlike između uspješnosti rehabilitacije kod skupina bolesnika, formiranih na osnovu dobi,
prethodnog zračenja i vremena ugradnje.

• Keywords (english): Aged; Aged, 80 and over; Female; Humans; Laryngectomy; Larynx, Artificial; Male; Middle Aged
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Collegium Antropologicum
• Numbering: vol. 36, no. S. 2, pp. 99-102
• p-ISSN: 0350-6134
• URN:NBN: urn:nbn:hr:105:833708
• Publication: 2012-11
• Document URL: http://hrcak.srce.hr/file/141988
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-27 19:46:41