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A prospective, randomized comparative study of patient perceptions and preferences of two types of indwelling voice prostheses
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Abstract:
Background: Technical and device life issues are frequently the focus of post-laryngectomy rehabilitation studies examining indwelling voice prostheses. Patient perceptions and preferences are considered less often. Aims: To determine patient perceptions of two indwelling voice prostheses across parameters relating to device use and maintenance and to determine what factors contribute to patient preferences. Methods & Procedures: In a randomized, cross-over study, 31 laryngectomy patients completed a 3-week trial of both the new indwelling Provox Vega and a comparator device, the Blom-Singer Classic Indwelling. Patient perceptions of the insertion process, cleaning and care, and voicing were explored after each trial. At the end, overall preference and factors influencing device preference were examined. Outcome & Results: At the conclusion of the crossover trial, a significantly higher proportion of patients felt voice effort, overall voicing, bloating, and ease and effectiveness of cleaning were superior for the Provox Vega. No preference was noted for insertion processes. Overall device preference was influenced by improved voicing followed by cleaning and care. Conclusions & Implications: Patients do not perceive all indwelling devices as equal and should have the opportunity to trial different devices to find the best device for their needs.
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Keyword:
1203 Language and Linguistics; 3310 Linguistics and Language; 3616 Speech and Hearing; Laryngectomy; Patient perception; Provox Vega; Randomized controlled trial; Tracheoesophageal speech
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URL: https://espace.library.uq.edu.au/view/UQ:273973
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| 42 |
Reabilitação das funções do olfato e do paladar em laringectomizados totais: revisão sistemática Rehabilitation of smell and taste functions in total laryngectomy: systematic review
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In: Revista CEFAC, Vol 14, Iss 2, Pp 343-349 (2012) (2012)
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| 49 |
Towards a Practical Silent Speech Interface Based on Vocal Tract Imaging
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In: ISSP 2011 - 9th International Seminar on Speech Production ; https://halshs.archives-ouvertes.fr/halshs-00609106 ; ISSP 2011 - 9th International Seminar on Speech Production, Jul 2011, Montréal, Canada. pp.89-94 (2011)
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| 50 |
Analyses vidéofibroscopiques et acoustiques des ornements du Chant Long Mongol; comparaison avec la laryngectomie partielle
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In: Séminaires de Recherche en Phonétique et Phonologie ; https://halshs.archives-ouvertes.fr/halshs-00609137 ; Séminaires de Recherche en Phonétique et Phonologie, Mar 2011, Paris, France (2011)
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| 51 |
Augmented Control of a Hands-Free Electrolarynx
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In: Conference Papers (2011)
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| 52 |
Surgical voice restoration after total laryngectomy: An overview
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| 53 |
Botulinum neurotoxin for failed tracheoesophageal speech: phonatory and functional outcomes
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| 54 |
Perceptual characteristics of tracheoesophageal speech production using the new indwelling Provox Vega voice prosthesis: A randomized controlled crossover trial
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