作者
BMR Op de Coul, FJM Hilgers, AJM Balm, IB Tan, FJA Van den Hoogen, H Van Tinteren
发表日期
2000/11/1
期刊
Archives of Otolaryngology–Head & Neck Surgery
卷号
126
期号
11
页码范围
1320-1328
出版商
American Medical Association
简介
Objective
To assess long-term results with consistent use of indwelling voice prostheses (Provox; Atos Medical AB, Hörby, Sweden) for vocal rehabilitation after total laryngectomy.
Design
Retrospective clinical analysis.
Setting
Comprehensive national cancer center.
Patients
Three hundred eighteen patients (261 men and 57 women; mean age, 62 years) from November 1988, through May 1999.
Intervention
Standard wide-field total laryngectomy (287 patients) or total laryngectomy with circumferential pharyngeal resection (31 patients), and 2700 prosthesis replacements. Prostheses remained in situ during 364,339 days (1000 patient-years).
Main Outcome Measures
Device lifetime, indications for replacement (device or fistula related), adverse events, and voice quality.
Results
Median patient-device follow-up was 67 months. Mean actuarial device lifetime for all indications for replacement was 163 days (median, 89 …
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