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Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results

Background: In the present study, we assess the feasibility and success outcomes of voice prosthesis (VP) changes when performed by a speech-language pathologist (SLP). Methods: Patients treated with total laryngectomy (TL) from January 2020 to December 2020 were prospectively recruited from our med...

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Autores principales: Hans, Stéphane, Vialatte de Pemille, Grégoire, Baudouin, Robin, Julien-Laferriere, Aude, Couineau, Florent, Crevier-Buchman, Lise, Circiu, Marta P., Lechien, Jérôme R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9321863/
https://www.ncbi.nlm.nih.gov/pubmed/35887875
http://dx.doi.org/10.3390/jcm11144113
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author Hans, Stéphane
Vialatte de Pemille, Grégoire
Baudouin, Robin
Julien-Laferriere, Aude
Couineau, Florent
Crevier-Buchman, Lise
Circiu, Marta P.
Lechien, Jérôme R.
author_facet Hans, Stéphane
Vialatte de Pemille, Grégoire
Baudouin, Robin
Julien-Laferriere, Aude
Couineau, Florent
Crevier-Buchman, Lise
Circiu, Marta P.
Lechien, Jérôme R.
author_sort Hans, Stéphane
collection PubMed
description Background: In the present study, we assess the feasibility and success outcomes of voice prosthesis (VP) changes when performed by a speech-language pathologist (SLP). Methods: Patients treated with total laryngectomy (TL) from January 2020 to December 2020 were prospectively recruited from our medical center. Patients benefited from tracheoesophageal puncture. The VP changes were performed by the senior SLP and the following data were collected for each VP change: date of placement; change or removal; VP type and size; reason for change or removal; and use of a washer for periprosthetic leakage. A patient-reported outcome questionnaire including six items was proposed to patients at each VP change. Items were assessed with a 10-point Likert-scale. Results: Fifty-two VP changes were performed by the senior SLP during the study period. The mean duration of the SLP consultation, including patient history, examination and VP change procedure, was 20 min (range: 15–30). The median prosthesis lifetime was 88 days. The main reasons for VP changes were transprosthetic (n = 34; 79%) and periprosthetic (n = 7; 21%) leakages. SLP successfully performed all VP changes. He did not change one VP, but used a periprosthetic silastic to stop the periprosthetic leakages. In two cases, SLP needed the surgeon’s examination to discuss the following indication: implant mucosa inclusion and autologous fat injection. The patient satisfaction was high according to the speed and the quality of care by the SLP. Conclusions: The delegation of VP change from the otolaryngologist–head and neck surgeon to the speech-language pathologist (SLP) may be achieved without significant complications. The delegation of VP change procedure to SLP may be interesting in some rural regions with otolaryngologist shortages.
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spelling pubmed-93218632022-07-27 Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results Hans, Stéphane Vialatte de Pemille, Grégoire Baudouin, Robin Julien-Laferriere, Aude Couineau, Florent Crevier-Buchman, Lise Circiu, Marta P. Lechien, Jérôme R. J Clin Med Brief Report Background: In the present study, we assess the feasibility and success outcomes of voice prosthesis (VP) changes when performed by a speech-language pathologist (SLP). Methods: Patients treated with total laryngectomy (TL) from January 2020 to December 2020 were prospectively recruited from our medical center. Patients benefited from tracheoesophageal puncture. The VP changes were performed by the senior SLP and the following data were collected for each VP change: date of placement; change or removal; VP type and size; reason for change or removal; and use of a washer for periprosthetic leakage. A patient-reported outcome questionnaire including six items was proposed to patients at each VP change. Items were assessed with a 10-point Likert-scale. Results: Fifty-two VP changes were performed by the senior SLP during the study period. The mean duration of the SLP consultation, including patient history, examination and VP change procedure, was 20 min (range: 15–30). The median prosthesis lifetime was 88 days. The main reasons for VP changes were transprosthetic (n = 34; 79%) and periprosthetic (n = 7; 21%) leakages. SLP successfully performed all VP changes. He did not change one VP, but used a periprosthetic silastic to stop the periprosthetic leakages. In two cases, SLP needed the surgeon’s examination to discuss the following indication: implant mucosa inclusion and autologous fat injection. The patient satisfaction was high according to the speed and the quality of care by the SLP. Conclusions: The delegation of VP change from the otolaryngologist–head and neck surgeon to the speech-language pathologist (SLP) may be achieved without significant complications. The delegation of VP change procedure to SLP may be interesting in some rural regions with otolaryngologist shortages. MDPI 2022-07-15 /pmc/articles/PMC9321863/ /pubmed/35887875 http://dx.doi.org/10.3390/jcm11144113 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Hans, Stéphane
Vialatte de Pemille, Grégoire
Baudouin, Robin
Julien-Laferriere, Aude
Couineau, Florent
Crevier-Buchman, Lise
Circiu, Marta P.
Lechien, Jérôme R.
Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results
title Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results
title_full Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results
title_fullStr Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results
title_full_unstemmed Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results
title_short Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results
title_sort post-laryngectomy voice prosthesis changes by speech-language pathologists: preliminary results
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9321863/
https://www.ncbi.nlm.nih.gov/pubmed/35887875
http://dx.doi.org/10.3390/jcm11144113
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