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The Groningen valve voice prosthesis in Sheffield: a 4-year review

Published online by Cambridge University Press:  29 June 2007

A. J. Parker
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, England.
I. K. O'Leary
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, England.
R. G. Wight
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, England.
R. T. Clegg*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, England.
*
Mr R.T. Clegg, F.R.C.S., Department of Otolargyngology—Head and Neck Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2ff.

Abstract

The Groningen valve was first used in Sheffield in 1986 in a patient who underwent laryngectomy for malignant disease. Since then a further 21 patients have made use of this device, 17 of whom underwent insertion at the time of surgery. All patients were male, two patients have since died and the median length of follow-up to date has been 22.0 (range 2–41) months.

Prostheses were replaced mainly under general anaesthesia if they leaked or resulted in difficult phonation. A total of 73 valve insertions have been performed with a median time of 4.0 (range 0.25–27) months between each. of the 15 men in whom the prosthesis is currently in use, speech was generally good-excellent.

The Groningen valve provides a highly acceptable means of obtaining vocalization after laryngectomy in the patients in this series.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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