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Drilling speaking valves: A modification to improve vocalization in tracheostomy dependent children†
Article first published online: 31 DEC 2008
Copyright © 2009 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 119, Issue 1, pages 176–179, January 2009
How to Cite
Brigger, M. T. and Hartnick, C. J. (2009), Drilling speaking valves: A modification to improve vocalization in tracheostomy dependent children. The Laryngoscope, 119: 176–179. doi: 10.1002/lary.20077
- Issue published online: 31 DEC 2008
- Article first published online: 31 DEC 2008
- Manuscript Accepted: 1 AUG 2008
- speaking valve;
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