Abstract
Experimental results on voice prostheses used for the rehabilitation of patients that have lost their vocal function after total laryngectomy are presented. The purpose is to evaluate the difference in aerodynamic behaviour between Staffieri voice prosthesis and other commercial valves (Groningen standard, Groningen low pressure, Panje, Provox). Two different equipments for flow-rate measurement were designed and built to compare the performance of the valves. The valves have been experimentally tested under different conditions of airflow through the valve and tracheal side pressure. The data allow calculation of the airflow resistance, the parameter usually used to compare the performance of valves. The valves have also been experimentally tested under different conditions of fluid flow through the valve and oesophageal side pressure (reverse flow). Comparing the airflow resistance of Staffieri valves of different length L and different angular extension of the razor-thin slit α, it has been observed that the parameter α has a significant influence on the characteristics, while the effect of the length L is negligible. The airflow resistance of the Provox, Groningen low pressure and Staffieri α=270° valves are comparable; the Panje and Staffieri α=180° have similar behaviour; while the Groningen Standard is comparable to the Staffieri α=90°. Regarding reverse flow, it is pointed out that for most of the valves (Staffieri and commercial valves), at different oesophageal pressures the fluid flow is smaller than the flow that can be tolerated by patients without giving problems.
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References
Heaton, J. M., andParker, A. J. (1994): ‘In vitro comparison of the Groningen high resistance, Groningen low resistence and Provox speaking valves’,J. Laryngol. Otol.,108, pp. 321–324
Hilgers, F. J. M., andSchouwenburg, P. F. (1990): ‘A new low-resistance, self-retaining prosthesis (ProvoxTM) for voice rehabilitation after total laryngectomy’,Laryngoscope,100, pp. 1202–1207
Hillman, R. E., Holemberg, E., Walsh, M., andVaughan, C. (1985): ‘Aerodynamic assessment of the Henley-Cohn tracheoesophageal prosthesis’,Laryngoscope,95, pp. 1251–1254
Jebria, A. B., Gioux, H. M., DeVars, F., andTraissac, I. (1987a): ‘Aerodynamic characteristics of a voice prosthesis’,Ninth Annual Conference of the IEEE Engineering in Medicine and Biology Society, pp. 1727–1728
Jebria, A. B., Henry, C., Petit, J., Gioux, H. M., DeVars, F. andTraissac, L. (1987b): ‘Physical and aerodynamic features of the Bordeaux voice prosthesis’,Artif. Organs,11, pp. 383–387
Jebria, A. B., Gioux, M., Henry, C., DeVars, F., andTraissac, L. (1980); ‘New prosthesis with low airflow resistance for voice restoration following total laryngectomy’,Med. Biol. Eng. Comput.27, pp. 204–206
Karschay, P., Schon, F., Windrich, J., Fricke, J., andHerrmann, F. (1986): ‘Experiments in surgical voice restoration using valve prostheses’,Acta Otolaryngol.,101, pp. 341–347
Mahieu, H. F. (1988): ‘Voice and speech rehabilitation following laryngectomy’, Rijksuniversiteit Groningen, Doctoral disseration
Moon, J. B., Sullivan, J., andWeinberg, B. (1983): ‘Evaluations of Blom-Singer tracheoesophageal puncture prostheses performance’,J. Speech Hearing Disorders,26, pp. 459–464
Nieboerg, G. L. J., andSchutte, H. K. (1986): ‘Aerodynamic properties of buttons and botton-assisted oesophageal speech’,inHermann, I. F. (Ed.): ‘Speech rehabilitation via voice prostheses’ (Springer-Verlag, Berlin-Heidelberg), pp. 87–91
Panje, W. R. (1981): ‘Prosthetic vocal rehabilitation following laryngectomy. The voice button’,Ann. Otol.,90, pp. 116–120
Parker, A. J., Stevens, J. C., Wickham, M. H., andClegg, R. T. (1992a): ‘Characteristics of Groningen tracheo-oesophageal speaking valves prior to insertion and after removal for failure’,J. Laryngol. Otol.,106, pp. 521–524
Parker, A. J., Stevens, J. C., andClegg, R. T. (1992b): ‘An apparatus to measure pressure, flow and speech parameters in patients producing speech using the Groningen valve prosthesis’,J. Laryngol. Otol.,106, pp. 896–899
Smith, B. E. (1986): ‘Aerodynamic characteristics of Blom-Singer low pressure voice prostheses’,Arch. Otolaryngol. Head Neck Surg.,112, pp. 50–52
Staffieri, M. (1985): ‘Protesi per la riabilitazione della voce in soggetti laringectomizzati’, Patent 5121 A/85
Staffieri, M., andStaffieri, A. (1986): ‘La “Pull-out Prosthesis”: un nuovo voice button per la riabilitazione della voce dopo laringectomia totale’,Acta Otohinol. Ital.,6, pp. 19–26
Staffieri, M., andStaffieri, A. (1988): ‘A new voice button for post-total laryngectomy speech rehabilitation’,Laryngoscope,98, pp. 1027–1029
Van Lith-Bijl, J. T., Mahieu, H. F., Patel, P., andZijlstra, R. J. (1992): ‘Clinical experience with the low-resistance Groningen botton’,Eur. Arch. Otohinolaryngol.,249, pp. 354–357
Weinberg, B. (1982): ‘Airway resistance of the voice button’,Arch Otolaringol.,108, pp. 498–500
Weinberg, B. (1985): ‘Speech rehabilitation following total laryngectomy: some prospectives’,Head Neck Cancer,1, pp. 516–521
Weinberg, B., Horii, Y., Blom, E., andSinger, M. (1982): ‘Airway resistance during esophageal phonation’,J. Speech Hearing Disorders,47, pp. 194–199
Weinberg, B., andMoon, J. B. (1984): ‘Aerodynamic properties of four tracheoesophageal puncture prosthesis’,Arch. Otolaringol.,110, pp. 673–675
Weinberg, B., andMoon, J. B. (1986a): ‘Impact of tracheoesophageal puncture prosthesis airway resistance on in-vivo phonatory performance’,J. Speech Hearing Disorders,51, pp. 88–91
Weinberg, B., andMoon, J. B. (1986b): ‘Airway resistance of Blom-Singer and Panje low pressure tracheoesophageal puncture prostheses’,J. Speech Hearing Disorders,51, pp. 169–172
Zijlstra, D. J., Mahieu, H. F., Van Lith-Bijl, J. T., andSchutte, H. K. (1991): ‘Aerodynamic properties of the low-resistance Groningen button’,Arch. Otolaryngol. Head Neck Surg.,117, pp. 657–661
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Belforte, G., Carello, M., Miani, C. et al. Staffieri tracheo-oesophageal prosthesis for voice rehabilitation after laryngectomy: an evaluation of characteristics. Med. Biol. Eng. Comput. 36, 754–760 (1998). https://doi.org/10.1007/BF02518880
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DOI: https://doi.org/10.1007/BF02518880