Perceptual characteristics of tracheoesophageal speech production using the new indwelling Provox Vega voice prosthesis: A randomized controlled crossover trial
Background. The objective of this study was to determine if the design enhancements incorporated into the new Provox Vega Indwelling Voice prostheses result in any positive benefits in vivo. Methods. Using a randomized, crossover study design, 31 participants using tracheoesophageal speech postlaryn...
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| Published in: | Head & neck Vol. 33; no. 1; pp. 13 - 19 |
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| Format: | Journal Article |
| Language: | English |
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| Abstract | Background.
The objective of this study was to determine if the design enhancements incorporated into the new Provox Vega Indwelling Voice prostheses result in any positive benefits in vivo.
Methods.
Using a randomized, crossover study design, 31 participants using tracheoesophageal speech postlaryngectomy completed a 3‐week trial of the Provox Vega and a comparator device. Main outcome measures included patient perceptions of vocal effort and quality using each device, and perceptual judgments of voice quality produced.
Results.
The majority of patients (72%) indicated the Provox Vega gave them overall better voice quality and 52% felt they required less effort to phonate. Voice samples produced with the Provox Vega were also perceived by listeners to be significantly (p < .05) less strained, easier to understand, produced with less effort, and the better speech sample overall.
Conclusion.
Results support that the aerodynamic improvements incorporated in the design of the new Provox Vega facilitate enhanced voice and speech qualities. © 2010 Wiley Periodicals, Inc. Head Neck, 2011 |
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| AbstractList | The objective of this study was to determine if the design enhancements incorporated into the new Provox Vega Indwelling Voice prostheses result in any positive benefits in vivo.
Using a randomized, crossover study design, 31 participants using tracheoesophageal speech postlaryngectomy completed a 3-week trial of the Provox Vega and a comparator device. Main outcome measures included patient perceptions of vocal effort and quality using each device, and perceptual judgments of voice quality produced.
The majority of patients (72%) indicated the Provox Vega gave them overall better voice quality and 52% felt they required less effort to phonate. Voice samples produced with the Provox Vega were also perceived by listeners to be significantly (p < .05) less strained, easier to understand, produced with less effort, and the better speech sample overall.
Results support that the aerodynamic improvements incorporated in the design of the new Provox Vega facilitate enhanced voice and speech qualities. BACKGROUNDThe objective of this study was to determine if the design enhancements incorporated into the new Provox Vega Indwelling Voice prostheses result in any positive benefits in vivo.METHODSUsing a randomized, crossover study design, 31 participants using tracheoesophageal speech postlaryngectomy completed a 3-week trial of the Provox Vega and a comparator device. Main outcome measures included patient perceptions of vocal effort and quality using each device, and perceptual judgments of voice quality produced.RESULTSThe majority of patients (72%) indicated the Provox Vega gave them overall better voice quality and 52% felt they required less effort to phonate. Voice samples produced with the Provox Vega were also perceived by listeners to be significantly (p < .05) less strained, easier to understand, produced with less effort, and the better speech sample overall.CONCLUSIONResults support that the aerodynamic improvements incorporated in the design of the new Provox Vega facilitate enhanced voice and speech qualities. Background. The objective of this study was to determine if the design enhancements incorporated into the new Provox Vega Indwelling Voice prostheses result in any positive benefits in vivo. Methods. Using a randomized, crossover study design, 31 participants using tracheoesophageal speech postlaryngectomy completed a 3‐week trial of the Provox Vega and a comparator device. Main outcome measures included patient perceptions of vocal effort and quality using each device, and perceptual judgments of voice quality produced. Results. The majority of patients (72%) indicated the Provox Vega gave them overall better voice quality and 52% felt they required less effort to phonate. Voice samples produced with the Provox Vega were also perceived by listeners to be significantly (p < .05) less strained, easier to understand, produced with less effort, and the better speech sample overall. Conclusion. Results support that the aerodynamic improvements incorporated in the design of the new Provox Vega facilitate enhanced voice and speech qualities. © 2010 Wiley Periodicals, Inc. Head Neck, 2011 |
| Author | Lawson, Nadine Hancock, Kelli van As-Brooks, Corina J. Ward, Elizabeth C. |
| Author_xml | – sequence: 1 givenname: Elizabeth C. surname: Ward fullname: Ward, Elizabeth C. email: liz.ward@uq.edu.au organization: Division of Speech Pathology, School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia – sequence: 2 givenname: Kelli surname: Hancock fullname: Hancock, Kelli organization: Speech Pathology Department, Princess Alexandra Hospital, Brisbane, Queensland, Australia – sequence: 3 givenname: Nadine surname: Lawson fullname: Lawson, Nadine organization: Speech Pathology Department, Princess Alexandra Hospital, Brisbane, Queensland, Australia – sequence: 4 givenname: Corina J. surname: van As-Brooks fullname: van As-Brooks, Corina J. organization: Atos Medical AB, Horby, Sweden |
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| Cites_doi | 10.1044/jshd.4702.194 10.1001/archotol.1981.00790470018005 10.1044/jshd.5101.88 10.1016/j.anl.2007.08.003 10.1288/00005537-198601000-00008 10.1080/00016480510043486 10.1080/00016480310015371 10.1179/136132807805297611 10.1097/MOO.0b013e3282fe96ac 10.1007/BF00180379 |
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| Keywords | Evaluation Artificial larynx Tracheoesophageal Stomatology ENT Verbal production Laryngectomy randomized controlled trial Provox Vega Treatment Surgery Voice prosthesis perceptual evaluation Speech tracheoesophageal speech |
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| Notes | Conflict of Interest: Corina J. van As-Brooks is working part-time in Atos Medical as Clinical Affairs Manager. Atos Medical is a manufacturer of Provex Vega. She had an active role in project design. She did not participate in data collection and interpretation. Datasets were held by both Atos Medical and the Princess Alexandra Hospital and were analyzed independently by both groups. ArticleID:HED21389 istex:BD6FC051E350987BCD7CF0AB8B75611EB0A47FBB ark:/67375/WNG-9JNLNJ8Z-P This article was published online 31 March 2010. An error was subsequently identified. This notice is included in the online and print versions to indicate that both have been corrected on 13 April 2010. Conflict of Interest: Corina J. van As–Brooks is working part‐time in Atos Medical as Clinical Affairs Manager. Atos Medical is a manufacturer of Provex Vega. She had an active role in project design. She did not participate in data collection and interpretation. Datasets were held by both Atos Medical and the Princess Alexandra Hospital and were analyzed independently by both groups. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23 |
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| References | Nunnaly J. Psychometric Theory. New York: McGraw-Hill, 1978. Hancock K, Houghton B, van As-Brooks C, Coman W. First clinical experience with a new non-indwelling voice prosthesis (Provox NID) for voice rehabilitation after total laryngectomy. Acta Otolaryngol 2005; 125: 981-990. Hilgers FJ, Ackerstaff AH, Balm AJ, Van den Brekel MW, Bing Tan I, Persson JO. A new problem-solving indwelling voice prosthesis, eliminating the need for frequent Candida- and "underpressure"-related replacements: Provox ActiValve. Acta Otolaryngol 2003; 123: 972-979. Grolman W, Eerenstein SE, Tange RA, et al. Vocal efficiency in tracheoesophageal phonation. Auris Nasus Larynx 2008; 35: 83-88. Weinberg B, Moon JB. Impact of tracheoesophageal puncture prosthesis airway resistance on in-vivo phonatory performance. J Speech Hear Disord 1986; 51: 88-91. Singer MI, Blom ED. Selective myotomy for voice restoration after total laryngectomy. Arch Otolaryngol 1981; 107: 670-673. Hilgers FJ, Ackerstaff AH, van Rossum M, et al. Clinical phase 1/feasibility study of the next generation indwelling Provox voice prosthesis (Provox Vega). Acta Otolaryngol 2009 [Epub ahead of print]. Bohnenkamp TA. The effects of total a laryngectomy on speech breathing. Curr Opin Otolaryngol Head Neck Surg 2008; 16: 200-204. Weinberg B, Horii Y, Blom E, Singer M. Airway resistance during esophageal phonation. J Speech Hear Disord 1982; 47: 194-199. Singer MI, Blom ED, Hamaker RC. Pharyngeal plexus neurectomy for alaryngeal speech rehabilitation. Laryngoscope 1986; 96: 50-54. Ward EC, Hartwig P, Scott J, Trickey M, Cahill L, Hancock K. Speech breathing patterns during tracheoesophageal speech. Asia Pac J Speech, Lang Hear 2007; 10: 33-42. Hilgers FJ, Cornelissen MW, Balm AJ. Aerodynamic characteristics of the Provox low-resistance indwelling voice prosthesis. Eur Arch Otorhinolaryngol 1993; 250: 375-378. 1982; 47 1986; 51 1986; 96 2005; 125 2008; 16 2009 2007 1996 2008; 35 1993; 250 1981; 107 2007; 10 2003; 123 1978 e_1_2_7_5_2 e_1_2_7_4_2 e_1_2_7_3_2 e_1_2_7_2_2 e_1_2_7_9_2 e_1_2_7_8_2 e_1_2_7_7_2 e_1_2_7_6_2 Hilgers FJ (e_1_2_7_12_2) 2009 e_1_2_7_15_2 Nunnaly J (e_1_2_7_16_2) 1978 e_1_2_7_14_2 e_1_2_7_11_2 e_1_2_7_10_2 van As‐Brooks CJ (e_1_2_7_13_2) 2007 |
| References_xml | – volume: 16 start-page: 200 year: 2008 end-page: 204 article-title: The effects of total a laryngectomy on speech breathing publication-title: Curr Opin Otolaryngol Head Neck Surg – volume: 10 start-page: 33 year: 2007 end-page: 42 article-title: Speech breathing patterns during tracheoesophageal speech publication-title: Asia Pac J Speech, Lang Hear – year: 2009 article-title: Clinical phase 1/feasibility study of the next generation indwelling Provox voice prosthesis (Provox Vega) publication-title: Acta Otolaryngol – start-page: 229 year: 2007 end-page: 266 – volume: 250 start-page: 375 year: 1993 end-page: 378 article-title: Aerodynamic characteristics of the Provox low‐resistance indwelling voice prosthesis publication-title: Eur Arch Otorhinolaryngol – volume: 47 start-page: 194 year: 1982 end-page: 199 article-title: Airway resistance during esophageal phonation publication-title: J Speech Hear Disord – volume: 96 start-page: 50 year: 1986 end-page: 54 article-title: Pharyngeal plexus neurectomy for alaryngeal speech rehabilitation publication-title: Laryngoscope – year: 1996 – volume: 107 start-page: 670 year: 1981 end-page: 673 article-title: Selective myotomy for voice restoration after total laryngectomy publication-title: Arch Otolaryngol – year: 1978 – volume: 51 start-page: 88 year: 1986 end-page: 91 article-title: Impact of tracheoesophageal puncture prosthesis airway resistance on in‐vivo phonatory performance publication-title: J Speech Hear Disord – volume: 125 start-page: 981 year: 2005 end-page: 990 article-title: First clinical experience with a new non‐indwelling voice prosthesis (Provox NID) for voice rehabilitation after total laryngectomy publication-title: Acta Otolaryngol – volume: 35 start-page: 83 year: 2008 end-page: 88 article-title: Vocal efficiency in tracheoesophageal phonation publication-title: Auris Nasus Larynx – volume: 123 start-page: 972 year: 2003 end-page: 979 article-title: A new problem‐solving indwelling voice prosthesis, eliminating the need for frequent Candida‐ and “underpressure”‐related replacements: Provox ActiValve publication-title: Acta Otolaryngol – ident: e_1_2_7_3_2 doi: 10.1044/jshd.4702.194 – ident: e_1_2_7_7_2 doi: 10.1001/archotol.1981.00790470018005 – ident: e_1_2_7_4_2 doi: 10.1044/jshd.5101.88 – ident: e_1_2_7_2_2 doi: 10.1016/j.anl.2007.08.003 – ident: e_1_2_7_11_2 – ident: e_1_2_7_8_2 doi: 10.1288/00005537-198601000-00008 – ident: e_1_2_7_9_2 doi: 10.1080/00016480510043486 – ident: e_1_2_7_14_2 doi: 10.1080/00016480310015371 – ident: e_1_2_7_6_2 doi: 10.1179/136132807805297611 – year: 2009 ident: e_1_2_7_12_2 article-title: Clinical phase 1/feasibility study of the next generation indwelling Provox voice prosthesis (Provox Vega) publication-title: Acta Otolaryngol contributor: fullname: Hilgers FJ – ident: e_1_2_7_5_2 doi: 10.1097/MOO.0b013e3282fe96ac – start-page: 229 volume-title: Head and neck cancer: treatment, rehabilitation and outcomes year: 2007 ident: e_1_2_7_13_2 contributor: fullname: van As‐Brooks CJ – ident: e_1_2_7_15_2 – ident: e_1_2_7_10_2 doi: 10.1007/BF00180379 – volume-title: Psychometric Theory year: 1978 ident: e_1_2_7_16_2 contributor: fullname: Nunnaly J |
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The objective of this study was to determine if the design enhancements incorporated into the new Provox Vega Indwelling Voice prostheses result in... The objective of this study was to determine if the design enhancements incorporated into the new Provox Vega Indwelling Voice prostheses result in any... BACKGROUNDThe objective of this study was to determine if the design enhancements incorporated into the new Provox Vega Indwelling Voice prostheses result in... |
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| SubjectTerms | Aged Biological and medical sciences Cross-Over Studies Female Humans laryngectomy Laryngectomy - methods Laryngectomy - rehabilitation Larynx, Artificial Male Medical sciences Middle Aged Otorhinolaryngology. Stomatology Patient Satisfaction - statistics & numerical data Perception perceptual evaluation Phonation Prosthesis Design Provox Vega Quality of Life Queensland randomized controlled trial Speech Intelligibility Speech, Esophageal - instrumentation Speech, Esophageal - methods tracheoesophageal speech Treatment Outcome Voice Quality |
| Title | Perceptual characteristics of tracheoesophageal speech production using the new indwelling Provox Vega voice prosthesis: A randomized controlled crossover trial |
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