Double Blind Study Investigating the Effect of Different Voice Prostheses on Ease of Swallowing and Residue Post Laryngectomy

This study investigated the difference between six commonly available voice prostheses in terms of swallowing. Laryngectomy patients had up to six voice prostheses placed in a random order over two visits. Swallowing was evaluated for each prosthesis using FEES (Fibreoptic Endoscopic Evaluation of Swallowing). After each prosthesis trial, patients self-evaluated their experience of swallowing. Three independent experts indicated which prosthesis they considered best for swallowing for each patient and judged residue on the voice prosthesis and in the upper esophagus. Raters were blinded to participant details, voice prosthesis type and scores of other raters. On patient self-evaluation, scores were equally distributed across all prostheses for swallowing. Experts most frequently chose the Blom Singer Low pressure and Blom Singer Classic Indwelling voice prostheses as best for swallowing but consensus was poor for most patients. Experts found that the Blom Singer Classic Indwelling and the Provox Vega had least residue on the voice prosthesis on thin liquid (p ≤ 0.001) and soft (p = 0.001), respectively. Experts also found that the Blom Singer Low Pressure had least residue in the upper esophagus on soft consistency (p ≤ 0.001). While self-evaluation by patients did not identify a consistently preferred prosthesis for swallow, many patients expressed personal preferences, suggesting benefits to involving patients in the choice of prosthesis....
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research

Related Links:

Wulf R össler, Jules Angst, Vladeta Ajdacic-Gross, Helene Haker, Sofian Berrouiguet, Mariam Ujeyl, Nicholas Glozier, Michael P. Hengartner
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
J ürgen Fuchshuber, Michaela Hiebler-Ragger, Adelheid Kresse, Hans-Peter Kapfhammer, Human F. Unterrainer
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Source: Biological Psychiatry - Category: Psychiatry Source Type: research
Source: Biological Psychiatry - Category: Psychiatry Source Type: research
Source: Biological Psychiatry - Category: Psychiatry Source Type: research
Source: Biological Psychiatry - Category: Psychiatry Source Type: research
BREAST cancer symptoms and signs develop when a few cells in this area start to divide uncontrollably. The most common cancer in women, there are also rare cases of the cancer developing in men. Watch out for these warning signs of breast cancer.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Many famous studies of human behavior cannot be reproduced. Even so, they revealed aspects of our inner lives that feel true.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Psychology and Psychologists Research Zimbardo, Philip G Stanford University Source Type: news
Source: NPR Health and Science - Category: Consumer Health News Authors: Source Type: news
PMID: 30005795 [PubMed - in process]
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Facial Plast Surg Clin North Am Source Type: research
More News: Laryngectomy | Lower Endoscopy | Speech-Language Pathology | Study | Upper Endoscopy