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- Title
Drilling speaking valves: A modification to improve vocalization in tracheostomy dependent children.
- Authors
Brigger, Matthew T.; Hartnick, Christopher J.
- Abstract
Pediatric tracheostomy dependence is associated with a variety of sequelae. Vocalization delay is commonplace and may result in long-term communication disability. Passy-Muir speaking valves are routinely used to allow such children to vocalize. Unfortunately, not all tracheostomy dependent children can tolerate the placement of a speaking valve. Elevated transtracheal pressures are often associated with failure. We describe a method of modifying a standard Passy-Muir valve to decrease transtracheal pressures and thus improve tolerance of the valve. In our practice, the modification allows a broader range of children experience the benefit of speaking valve placement. Laryngoscope, 119:176-179, 2009
- Publication
Laryngoscope, 2009, Vol 119, Issue 1, p176
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.20077