Survival times of Provox™ valves

This study was performed to assess the survival times of the Provox™ valve in the Manchester area. Thirty-nine patients from four hospitals, representing 81 valve failures, were studied. The effects of the timing of the tracheo-oesophageal puncture, previous radiotherapy, and the presence and timing...

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Veröffentlicht in:Journal of laryngology and otology 1996-01, Vol.110 (1), p.37-42
Hauptverfasser: de Carpentier, J. P., Ryder, W. D. J., Saeed, S. R., Woolford, T. J.
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container_issue 1
container_start_page 37
container_title Journal of laryngology and otology
container_volume 110
creator de Carpentier, J. P.
Ryder, W. D. J.
Saeed, S. R.
Woolford, T. J.
description This study was performed to assess the survival times of the Provox™ valve in the Manchester area. Thirty-nine patients from four hospitals, representing 81 valve failures, were studied. The effects of the timing of the tracheo-oesophageal puncture, previous radiotherapy, and the presence and timing of cricopharyngeal myotomy on valve life were analysed. Regression analysis using an extension of the Cox model to allow strata showed that the lifetime of the first valve only is adversely affected by previous radiotherapy. The other covariates do not have a statistically significant effect on valve survival. The median valve survival is 4.5 months, (range one to 12 months). A small percentage of valve users with particularly frequent valve failures may require additional support and prolonged anti-fungal therapy.
doi_str_mv 10.1017/S0022215100132670
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source MEDLINE; Cambridge University Press Journals Complete
subjects Adult
Aged
artificial
Biological and medical sciences
Diseases of the upper aerodigestive tract
Ent and stomatology
Female
Follow-Up Studies
Humans
Laryngeal Neoplasms - radiotherapy
Laryngectomy
Laryngectomy - methods
Larynx
Larynx, Artificial
Main Articles
Male
Medical sciences
Middle Aged
Prosthesis Failure
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Recurrence
Regression Analysis
Time Factors
title Survival times of Provox™ valves
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