Efficacy and Safety of Duckbill Valve Voice Prosthesis in Comparison to Provox
Introduction Voice rehabilitation is the most important issue after total laryngectomy as source of vibration is removed. Three options are there like esophageal voice, electrolarynx and surgical prosthetic voice. Best is the prosthetic speech as voice is generated by lung powered air column. Provo...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2019-08-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal/index.php/bjohns/article/view/561 |
| _version_ | 1797226547982106624 |
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| author | Monoj Mukherjee Siddhartha Das |
| author_facet | Monoj Mukherjee Siddhartha Das |
| author_sort | Monoj Mukherjee |
| collection | DOAJ |
| description | Introduction
Voice rehabilitation is the most important issue after total laryngectomy as source of vibration is removed. Three options are there like esophageal voice, electrolarynx and surgical prosthetic voice. Best is the prosthetic speech as voice is generated by lung powered air column. Provox prosthesis is the standard on and most commonly used. But it is costly for the class of patients presenting to our government hospitals. Duckbill prosthesis is very economical and may be helpful for them. There is very limited number of studies with duckbill prosthesis.
Materials and Methods
Twenty two post-laryngectomy patients was selected for this study. Proper counselling was done regarding cost, pros and cons of Provox and Duckbill prosthesis. Fifteen patient selected Duckbill where as seven patient have chosen Provox prosthasis. Voice analysis was done after one month of speech therapy by perceptual voice analysis protocol. Safety and complications arising from prosthesis were also noted.
Results
There was no significant difference in quality of voice.Both prosthesis are safe if prolong use is avoided.
Conclusion
There is no significant difference in the quality and safety of both the prosthesis, but huge difference in cost is present. More over it is recurrent cost as it should be changed every year or earlier. One Provox costs around rupees fifty thousand whereas a duckbill prosthesis costs rupees one thousand approximately in Indian market. |
| first_indexed | 2024-03-09T04:16:55Z |
| format | Article |
| id | doaj.art-4b66fa3cd2994c43b4ca4fa70f4474f3 |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-04-24T14:26:39Z |
| publishDate | 2019-08-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-4b66fa3cd2994c43b4ca4fa70f4474f32024-04-03T04:33:26ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072019-08-01272149153216Efficacy and Safety of Duckbill Valve Voice Prosthesis in Comparison to ProvoxMonoj Mukherjee0Siddhartha Das1NRS Medical College, Kolkata, West BengalNRS MEDICAL COLLEGE, KOLKATA, WEST BENGALIntroduction Voice rehabilitation is the most important issue after total laryngectomy as source of vibration is removed. Three options are there like esophageal voice, electrolarynx and surgical prosthetic voice. Best is the prosthetic speech as voice is generated by lung powered air column. Provox prosthesis is the standard on and most commonly used. But it is costly for the class of patients presenting to our government hospitals. Duckbill prosthesis is very economical and may be helpful for them. There is very limited number of studies with duckbill prosthesis. Materials and Methods Twenty two post-laryngectomy patients was selected for this study. Proper counselling was done regarding cost, pros and cons of Provox and Duckbill prosthesis. Fifteen patient selected Duckbill where as seven patient have chosen Provox prosthasis. Voice analysis was done after one month of speech therapy by perceptual voice analysis protocol. Safety and complications arising from prosthesis were also noted. Results There was no significant difference in quality of voice.Both prosthesis are safe if prolong use is avoided. Conclusion There is no significant difference in the quality and safety of both the prosthesis, but huge difference in cost is present. More over it is recurrent cost as it should be changed every year or earlier. One Provox costs around rupees fifty thousand whereas a duckbill prosthesis costs rupees one thousand approximately in Indian market.https://bjohns.in/journal/index.php/bjohns/article/view/561laryngectomyvoiceprostheses and implants |
| spellingShingle | Monoj Mukherjee Siddhartha Das Efficacy and Safety of Duckbill Valve Voice Prosthesis in Comparison to Provox Bengal Journal of Otolaryngology and Head Neck Surgery laryngectomy voice prostheses and implants |
| title | Efficacy and Safety of Duckbill Valve Voice Prosthesis in Comparison to Provox |
| title_full | Efficacy and Safety of Duckbill Valve Voice Prosthesis in Comparison to Provox |
| title_fullStr | Efficacy and Safety of Duckbill Valve Voice Prosthesis in Comparison to Provox |
| title_full_unstemmed | Efficacy and Safety of Duckbill Valve Voice Prosthesis in Comparison to Provox |
| title_short | Efficacy and Safety of Duckbill Valve Voice Prosthesis in Comparison to Provox |
| title_sort | efficacy and safety of duckbill valve voice prosthesis in comparison to provox |
| topic | laryngectomy voice prostheses and implants |
| url | https://bjohns.in/journal/index.php/bjohns/article/view/561 |
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