A New Provox 2 Prosthesis for Laryngectomized Patients

Accession number;04A0024306
Title;A New Provox 2 Prosthesis for Laryngectomized Patients
Author; HORIGUCHI AKIKO (School of Medicine, Kanazawa Medical Univ., JPN) SHIMODE YUZO (School of Medicine, Kanazawa Medical Univ., JPN) ADACHI MARI (School of Medicine, Kanazawa Medical Univ., JPN) TOMODA KOICHI (School of Medicine, Kanazawa Medical Univ., JPN) HAYAKAWA SHINOBU (School of Medicine, Kanazawa Medical Univ., JPN) IWAI MASARU (Fac. Madicine, Kansai Medical Univ., JPN)
Journal Title;Journal of the Japan Broncho-Esophagological Society
Journal Code:Z0674A
ISSN:0029-0645
VOL.54;NO.6;PAGE.428-433(2003)
Figure&Table&Reference;FIG.6, TBL.2, REF.12
Pub. Country;Japan
Language;Japanese
Abstract;Various voice prosthesis have been used in order voice for patients who were laryngectomy. We have used a new type of voice prosthesis, the Provox 2 from 1998 to 2002, in 14 cases of which 10 patients had a tracheoesophageal shunt (TE shunt) and 4 patients had a tracheojejunum shunt (TJ shunt). Nine of the 10 patients who had TE shunt could achieve sufficient communication ability with the Provox 2, and 3 of the 4 patients with TJ shunt also phonated clear voice. There was no major discomfort were observed, since the Provox 2 is a long term indwelling prosthesis which is anterograde insertion. We also evaluated the site of the vibratory source of these patients with videofluoloscopy. In the cases of TE shunt, the neoglottis seems to be located in the place between C4 and C5 and it was thyreopharyngeum muscle, while in the cases of TJ shunt, the place of vibratory source depends on the each case. (author abst.)
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