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Blom-Singer Voice Prosthesis - InHealth

Objectives/Hypothesis: This study compares the overall durability, phonation effort, and speech quality achieved by the Blom-Singer Dual Valve prosthesis to the same characteristics achieved by the single-valve prosthesis used in a select population of total laryngectomy patients who have demonstrated single-valve prosthesis failure within 3 months of placement. Study Design: Prospective phase IV study. Methods: Fourteen patients who had previously experienced early valve failure using a single-valve prosthesis had a Dual Valve placed by a speech language pathologist. A total of seventeen Dual Valves were inserted during routine clinical visits for valve replacement. Time intervals from insertion to replacement of the Dual Valve, as well as the average lifespan of patients' three previous single valves were collected. Subjective, categorical responses to speech quality and phonation effort for the Dual Valve compared to the single valve were collected on a questionnaire upon failure of the device. Results: The mean duration of the single valve was 60 days, with a median of 51 days, whereas the mean duration of the Dual Valve was 164 days, with a median duration of 84 days. Both sets of data were statistically significant, with a P value of .0131. Valve life was increased in 86% of patients, with 43% experiencing greater than 150 days improvement in valve duration when using the Dual Valve. Phonation effort was increased in 14% of patients, and speech quality was not significantly affected in any patients. Conclusions: In this select population, the Dual Valve offers improved durability over the single valve without sacrificing speech quality, making it a preferred prosthesis option for patients experiencing single-valve failure in less than 3 months.

N2 - Objectives/Hypothesis: This study compares the overall durability, phonation effort, and speech quality achieved by the Blom-Singer Dual Valve prosthesis to the same characteristics achieved by the single-valve prosthesis used in a select population of total laryngectomy patients who have demonstrated single-valve prosthesis failure within 3 months of placement. Study Design: Prospective phase IV study. Methods: Fourteen patients who had previously experienced early valve failure using a single-valve prosthesis had a Dual Valve placed by a speech language pathologist. A total of seventeen Dual Valves were inserted during routine clinical visits for valve replacement. Time intervals from insertion to replacement of the Dual Valve, as well as the average lifespan of patients' three previous single valves were collected. Subjective, categorical responses to speech quality and phonation effort for the Dual Valve compared to the single valve were collected on a questionnaire upon failure of the device. Results: The mean duration of the single valve was 60 days, with a median of 51 days, whereas the mean duration of the Dual Valve was 164 days, with a median duration of 84 days. Both sets of data were statistically significant, with a P value of .0131. Valve life was increased in 86% of patients, with 43% experiencing greater than 150 days improvement in valve duration when using the Dual Valve. Phonation effort was increased in 14% of patients, and speech quality was not significantly affected in any patients. Conclusions: In this select population, the Dual Valve offers improved durability over the single valve without sacrificing speech quality, making it a preferred prosthesis option for patients experiencing single-valve failure in less than 3 months.

cancer, rehabilitation, laryngectomy, larynx, artificial, Provox, Blom-Singer, Vocal prostheses

Blom-Singer insertion - Origin8

T1 - Selective patient experience with the Blom-Singer Dual Valve voice prosthesis

The flushing device allows a voice prosthesis to remain in the tracheoesophageal passage while routine cleaning is performed. It is filled with water which is then sprayed through the voice prosthesis, to flush out accumulated debris. Fits all Blom-Singer voice prostheses.

You can establish your initial IVR system without as well much hassle by choosing an open source provider. Usually, these firms call these services held IVR packages which generally suggest that they handle all the technological upgrades for you. On top of that, these held services tend to be very personalized and could be customized specifically to your personal company’s requirements and services. Functions that are commonly consisted of in commercial IVR bundles are fundamental Rapid Response Indwelling Voice Prostheses acknowledgment, consumer service alternatives, phone menu navigating, and also call routing. First, brainstorm the kinds of attributes you would love to see in the item. Also if you currently have an unclear suggestion of exactly what you are seeking, making the effort to work generate a harsh draft of your objectives as well as assumptions will certainly do a whole lot to clarify what you should do in order to earn those things take place. It will certainly additionally assist you when you are talking with an IVR supplier. You would be shocked how easy it is to lose sight of your objectives when you listen to the vast variety of attributes readily available with IVRs.

Blom Singer - Voice Prosthesis Cleaning System - …

AB - Objectives/Hypothesis: This study compares the overall durability, phonation effort, and speech quality achieved by the Blom-Singer Dual Valve prosthesis to the same characteristics achieved by the single-valve prosthesis used in a select population of total laryngectomy patients who have demonstrated single-valve prosthesis failure within 3 months of placement. Study Design: Prospective phase IV study. Methods: Fourteen patients who had previously experienced early valve failure using a single-valve prosthesis had a Dual Valve placed by a speech language pathologist. A total of seventeen Dual Valves were inserted during routine clinical visits for valve replacement. Time intervals from insertion to replacement of the Dual Valve, as well as the average lifespan of patients' three previous single valves were collected. Subjective, categorical responses to speech quality and phonation effort for the Dual Valve compared to the single valve were collected on a questionnaire upon failure of the device. Results: The mean duration of the single valve was 60 days, with a median of 51 days, whereas the mean duration of the Dual Valve was 164 days, with a median duration of 84 days. Both sets of data were statistically significant, with a P value of .0131. Valve life was increased in 86% of patients, with 43% experiencing greater than 150 days improvement in valve duration when using the Dual Valve. Phonation effort was increased in 14% of patients, and speech quality was not significantly affected in any patients. Conclusions: In this select population, the Dual Valve offers improved durability over the single valve without sacrificing speech quality, making it a preferred prosthesis option for patients experiencing single-valve failure in less than 3 months.

Nowadays speech is primarily restored using a tracheo‐oesophageal fistula (TOF) and an indwelling voice prosthesis.

The ADVANTAGE indwelling voice prosthesis is the newest advancement in Blom-Singer voice restoration. Silver oxide has been incorporated into the prosthesis as a material preservative. The ADVANTAGE is placed by the clinician in the tracheoesophageal puncture so that routine changing of a voice prosthesis is unnecessary. It is ideal for laryngectomees who are unable or resistant to changing a removable voice prosthesis, such as the Duckbill or Low Pressure styles. The ADVANTAGE is inserted and replaced on an as needed basis by a speech pathologist or physician only.

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Blom Singer - Advantage Indwelling Voice Prosthesis - Rx

1. I have been using indwelling prostheses for just over a year now. Every one that my SLP has inserted has leaked liquid thru the middle when I do the swallow test. I live about an hour from the SLP and I just leave the TEP in and go home. By the time I get home the prosthesis has stopped leaking and I have no further problems. I am of the opinion that the process of folding the flange, inserting it in a gel cap, etc.. causes the TEP to be warped out of shape a little. It also takes some time for all of the gel cap to dissolve and disappear and also any KY jelly or other lubricant that was used during insertion.

Blom-Singer Voice Prosthesis - Blom-Singer Duckbill …

From Wal-Mart or your local drug store, buy a bulb type irrigation syringe and an eye dropper (the kind with the black bulb on the end.) Take the little bulb off the dropper and insert syringe tip into glass tube...Voila!!!...if you press the bulb in, using a lubricant like KY jelly, it will slip on, lodge securely, and when the carrier (water) evaporates the bulb will never come out... well not without a LOT of pulling and pushing and twisting. No cutting or taping or gluing...great if you’re traveling and forgot to bring one. And, because the end of the tube is tapered, it fits perfectly into any prosthesis.

Blom Singer Classsic Indwelling Voice Prosthesis 10 …

Dr. Eric D. Blom, PhD, of Head and Neck Surgery Associates in Indianapolis, IN, had a Letter to the Editor published in Otolaryngology - Head & Neck Surgery on the above subject. The original letter from Volume 129 April 2003 is in the archives of the Journal of American Medical Association. An Adobe Acrobat (.pdf) format is available for those who would care to read it in its entirety (to include its charts). Dr. Blom notes in his conclusion, based upon numerous independent clinical observations, that, "Although it is not irrefutably established that leakage around a tracheoesophageal voice prosthesis is predictably related to increased dimensional characteristics or the dilating effects of insertion, an awareness of a possible relationship seems warranted." One of the studies cited by Dr. Blom in his letter was "Downsizing of Voice Prosthesis Diameter in Patients with Laryngectomy", by Drs. Eerenstein, Grolman, & Schouwenburg, 2002. An Adobe Acrobat (.pdf) format copy of an is also available, should you be interested in reading it.

Blom-Singer ADVANTAGE Indwelling Voice Prosthesis - …

I have been using TEP speech for approximately 12 years and have never had occur what happened to me today. I exchanged my prosthesis this morning for one that was ready to be reinserted and shortly thereafter mucous started coming from the stoma in copious amounts. I thought that somehow I had caught a severe cold. After putting up with this stream of mucous for about 20-30 minutes, I decided to investigate. The suddenness and the constant output puzzled me. It turned out the mucous wasn't coming from the inner stoma, but leaking out of the middle of the prosthesis. After inserting a brand new prosthesis everything magically cleared up. Lesson: A prosthesis doesn't last forever - sometimes you should change to a new prosthesis and discard the old one! (Irwin Title)

Blom-Singer Voice Prosthesis - InHealth Technologies

Step 2. If the problem is with the prosthesis (voice is good open tract), the puncture should be dilated a sufficient length of time, and then the puncture tract length is carefully measured (not just a guess!). The prosthesis is inserted. Wait a few minutes if a gel cap insertion is used, so the capsule will completely dissolve. If the prosthesis is the correct length and properly inserted, it should rotate freely in the tract while it is still attached to the insertion tool. And if it is correctly inserted, you should feel resistance to gently trying to pull it back out while still attached to the inserter, because the esophageal flange is fully deployed in the esophagus. In many laryngectomees, you can see the esophageal flange of the prosthesis by passing a flexible endoscope through the nose and down into the upper esophagus. If the prosthesis is seen, you know that you have the correct size and that it is fully inserted into the puncture. It can be hard to see it sometimes because of secretions, the way healing occurs after surgery, and the absence of the usual landmarks that are there before surgery. Some tricks to get a good view: the scope is advanced slightly below the prosthesis. The examiner can tell where the scope is because the light of the scope will shine through the tissue allowing you to see it on the outside of the neck. You should occlude the stoma and try to voice on a long 'ahhhh' or 'eeeee' as the examiner very slowly removes the scope, and usually the prosthesis will be seen for a brief instant. It helps to record the exam and play it back because sometimes you think that you see the prosthesis but aren't sure. If the prosthesis isn't visualized with the scope, it may still be correctly inserted, just not easily visible. If the voice is worse with the prosthesis inserted in the puncture compared to open tract voicing, the prosthesis may be the wrong length or not correctly inserted, or you may need a prosthesis that has a lower resistance to the flow of air. The different types of prostheses have different levels of resistance.

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