In reference to Voice rehabilitation with voice prosthesis: Long-term results, complications, and risk factors

Mayo-Yáñez, Miguel; Cabo-Varela, Irma

doi:10.1016/j.otoeng.2021.10.001

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Non-specific intravestibular calcifications are seen." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marta Navarro Fornas, Carlos de Paula Vernetta, Joan Carreres Polo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Marta" "apellidos" => "Navarro Fornas" ] 1 => array:2 [ "nombre" => "Carlos" "apellidos" => "de Paula Vernetta" ] 2 => array:2 [ "nombre" => "Joan" "apellidos" => "Carreres Polo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651921001126" "doi" => "10.1016/j.otorri.2021.08.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651921001126?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357352200059X?idApp=UINPBA00004N" "url" => "/21735735/0000007300000004/v1_202207290538/S217357352200059X/v1_202207290538/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "In reference to Voice rehabilitation with voice prosthesis: Long-term results, complications, and risk factors" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "268" "paginaFinal" => "269" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Mayo-Yáñez, Irma Cabo-Varela" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Miguel" "apellidos" => "Mayo-Yáñez" "email" => array:1 [ 0 => "miguel.mayo.yanez@sergas.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Irma" "apellidos" => "Cabo-Varela" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Otorhinolaryngology – Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Clinical Research in Medicine, International Center for Doctorate and Advanced Studies (CIEDUS), Universidade de Santiago de Compostela (USC), Santiago de Compostela, Galicia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Con referencia a Rehabilitación de la voz con prótesis fonatorias: resultados a largo plazo, complicaciones y factores de riesgo" ] ] "textoCompleto" => "We have read the article entitled “Voice rehabilitation with voice prosthesis: Long term results, complications and riskfactors”.<a class="elsevierStyleCrossRef" href="#bib0030">1</a> We acknowledge the authors for the voice prosthesis (VP) study carried out. The improvement of VP has not been accompanied by an increase in its duration,<a class="elsevierStyleCrossRef" href="#bib0035">2</a> so studies of this type continue to be necessary.<a class="elsevierStyleCrossRefs" href="#bib0035">2–4</a>First, the results obtained regarding the duration of the VP are noteworthy (>7 months).<a class="elsevierStyleCrossRef" href="#bib0030">1</a> These results are far from those obtained by other authors (2–3 months),<a class="elsevierStyleCrossRefs" href="#bib0035">2,4</a> some of which are cited in the article itself, and being more similar to data obtained in studies with methodological biases.<a class="elsevierStyleCrossRef" href="#bib0050">5</a> It would be interesting to know which type of Provox is used, since large statistically significant differences have been shown between one generation and another and that information is missing in the methodology.<a class="elsevierStyleCrossRefs" href="#bib0045">4,5</a> What is this favorable data due to according to the authors?Second, apart from individual predisposition, various factors that could influence the duration of the VP have been discussed in the literature.<a class="elsevierStyleCrossRefs" href="#bib0035">2–4</a> A direct correlation between the incidence of severe fistula enlargement and reflux disease, confirmed by impedance-pH monitoring, has been demonstrated in several studies.<a class="elsevierStyleCrossRef" href="#bib0045">4</a> The prophylactic treatment with proton pump inhibitors±alginate may be justified in patients with substantial fistula enlargement.<a class="elsevierStyleCrossRef" href="#bib0045">4</a> This study lacks a detailed explanation in its methodology about the evaluation of a possible reflux or the presence of anti-reflux therapeutic measures, being able to represent a source of biases.<a class="elsevierStyleCrossRef" href="#bib0030">1</a>Third, regarding the statistical analysis, a multiple linear regression does not seem to be indicated in this type of study. In the discussion, this fact is directly specified with the sentence “the longer the patients are followed, the greater number of replacements aremade”, being one of the main conclusions of the study.<a class="elsevierStyleCrossRef" href="#bib0030">1</a> It seems logical. In the study of VP replacements, it is more interesting to conduct a Kaplan–Meier curves or proportional hazards regression model with the replacement of the VP as the event of interest, to assess the effect of the different variables and control the effect of time.Finally, the management of laryngectomized patients and of voice prosthesis users is complex and requires a multidisciplinary care (otolaryngologists and speech therapists) by professionals with experience in the field in order to reduce replacements and complications,<a class="elsevierStyleCrossRefs" href="#bib0035">2,3</a> so it would be interesting to clarify what kind of systematic approach has been used.Conflict of interestThere was no conflict of interest and authors have nothing to declare. This research does not involve human participants and was approved by the Hospital's Ethics Committee." 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Bussu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.14639/0392-100X-N0587" "Revista" => array:6 [ "tituloSerie" => "Acta Otorhinolaryngol Ital" "fecha" => "2020" "volumen" => "40" "paginaInicial" => "270" "paginaFinal" => "276" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33100338" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Multicenter prospective crossover study on new prosthetic opportunities in post-laryngectomy voice rehabilitation" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Serra" 1 => "G. Spinato" 2 => "R. Spinato" 3 => "A. Conti" 4 => "L. Licciardello" 5 => "M. Di Luca" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Biol Regul Homeost Agents" "fecha" => "2017" "volumen" => "31" "paginaInicial" => "803" "paginaFinal" => "809" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28958139" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Analysis of factors affecting the longevity of voice prosthesis following total laryngectomy with a review of literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Mayo-Yáñez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s13193-018-0831-x" "Revista" => array:5 [ "tituloSerie" => "Indian J Surg Oncol" "fecha" => "2019" "volumen" => "10" "paginaInicial" => "219" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30948903" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000007300000004/v1_202207290538/S2173573522000667/v1_202207290538/en/main.assets" "Apartado" => array:4 [ "identificador" => "5870" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000007300000004/v1_202207290538/S2173573522000667/v1_202207290538/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573522000667?idApp=UINPBA00004N"]

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Acta Otorrinolaringológica Española, the official publication of the Spanish Society of Otolaryngology and Head and Neck Surgery and the Ibero-American Society of Otorhinolaryngology, is the most important journal in Spanish dedicated to Otorhinolaryngology, which reflects the continuous scientific and technical progress of the specialty. It has become an important tool to be kept up to date. The Journal publishes Original Articles (articles on basic research and clinical investigation), reviews, brief communications, case studies and images, which are subjected to a rigorous peer review process.

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Vol. 73. Issue 4.

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