Grolman W, Schouwenburg P F, de Boer M F, Knegt P P, Spoelstra H A, Meeuwis C A
Department of ENT and Head and Neck Surgery, Academic Medical Center, Amsterdam, The Netherlands.
ORL J Otorhinolaryngol Relat Spec. 1995 May-Jun;57(3):165-70. doi: 10.1159/000276732.
The Blom-Singer adjustable tracheostoma valve (ATV) is a new tracheostoma valve, introduced in 1992 to improve voice rehabilitation after total laryngectomy. Little research has been done to evaluate the benefits of this valve. Our study evaluates the advantages and disadvantages of using this device. Eighteen laryngectomized patients with a low-resistance Provox voice prosthesis received an ATV, using minimal selection criteria. The patients are evaluated according to a specific protocol. The effectiveness of the humidifilter, valve and fixation method and the benefits are evaluated. Approximately 66% of the 18 patients are still using the ATV. We report the differences between the current users and the dropout group. Patient factors are discussed that seem to have an impact on the effective use of the valve, such as age and mucus production. We consider the ATV to be a valuable device for fingerless speech in the laryngectomized patient.
布洛姆-辛格可调式气管造口瓣膜（ATV）是一种新型气管造口瓣膜，于1992年推出，旨在改善全喉切除术后的语音康复。目前针对该瓣膜益处的研究较少。我们的研究评估了使用此装置的优缺点。18例接受低阻力Provox语音假体的喉切除患者，采用最低选择标准，接受了ATV。根据特定方案对患者进行评估。评估了加湿过滤器、瓣膜和固定方法的有效性及益处。18例患者中约66%仍在使用ATV。我们报告了当前使用者与退出组之间的差异。讨论了似乎对瓣膜有效使用有影响的患者因素，如年龄和黏液分泌。我们认为ATV是喉切除患者无指语音的一种有价值的装置。
