全喉切除术后自动说话阀和固定装置的性能-系统综述。

IF 2.2 3区 医学 Q1 OTORHINOLARYNGOLOGY
Max J Dullaart, Sebastiaan R de Vreugd, Maartje Leemans, Rob van Son, Arjan Malekzadeh, Maarten J A van Alphen, Lisette van der Molen, Michiel W M van den Brekel, Luc H E Karssemakers, Richard Dirven
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引用次数: 0

摘要

背景:自发明以来,喉切除术患者每日使用自动说话阀(AU)的比例一直保持在25%左右。要提高这一比例,了解现有设备的性能至关重要。因此,我们回顾了报告AU、固定装置寿命(FDL)、依从性以及语音和言语评估结果(VSAOs)的研究。方法:纳入截至2025年4月23日发表的研究。使用RoB2、ROBINS-I和JBI工具进行质量评估。结果:纳入了20项方法学质量较差的研究。AU和FDL分别为3 ~ 13.25 h/d和0.17 ~ 24 h/d。基线每日ASV依从率为25%,短期升高,但长期降低。不遵守的原因是固定不充分,皮肤问题,发声太无聊。不同asv的VSAOs无显著差异。结论:无单一ASV或固定装置优于其他固定装置。针对ASV经验、气管造口解剖结构和患者需求量身定制的个性化方法可能会增加AU、FDL和长期依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Performance of Automatic Speaking Valves and Fixation Devices Enabling Hands-Free Speech Following Total Laryngectomy-A Systematic Review.

Background: The percentage of daily automatic speaking valve use (AU) in laryngectomized patients has remained at ~25% since their invention. To increase this percentage, understanding the performance of existent devices is essential. Therefore, we reviewed studies reporting AU, fixation device lifetime (FDL), compliance, and voice and speech assessment outcomes (VSAOs).

Methods: Studies published until 23 April 2025 were included. Quality assessment was performed using RoB2, ROBINS-I, and JBI tools.

Results: Twenty studies were included, which were of poor methodological quality. AU and FDL were 3-13.25 h/day and 0.17-24 h/day. Baseline daily ASV compliance rate was 25%, increasing short-term but decreasing long-term. Reasons for non-compliance were inadequate fixation, skin problems, and voicing being too tiresome. There were no significant differences across ASVs in VSAOs.

Conclusion: No single ASV or fixation device outperformed others. Personalized approaches, tailored to ASV experience, tracheostoma anatomy, and patient needs, may increase AU, FDL, and long-term compliance.

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来源期刊
CiteScore
7.00
自引率
6.90%
发文量
278
审稿时长
1.6 months
期刊介绍: Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.
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