TY - JOUR
T1 - The Performance of Automatic Speaking Valves and Fixation Devices Enabling Hands-Free Speech Following Total Laryngectomy—A Systematic Review
AU - Dullaart, Max J.
AU - de Vreugd, Sebastiaan R.
AU - Leemans, Maartje
AU - van Son, Rob
AU - Malekzadeh, Arjan
AU - van Alphen, Maarten J.A.
AU - van der Molen, Lisette
AU - van den Brekel, Michiel W.M.
AU - Karssemakers, Luc H.E.
AU - Dirven, Richard
N1 - Publisher Copyright:
© 2025 The Author(s). Head & Neck published by Wiley Periodicals LLC.
PY - 2026/2
Y1 - 2026/2
N2 - 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.
AB - 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.
KW - automatic Tracheostoma valve
KW - laryngeal cancer
KW - tracheoesophageal
KW - voice prosthesis
KW - voice quality
UR - https://www.scopus.com/pages/publications/105018526799
UR - https://www.scopus.com/inward/citedby.url?scp=105018526799&partnerID=8YFLogxK
U2 - 10.1002/hed.70046
DO - 10.1002/hed.70046
M3 - Article
C2 - 41059640
AN - SCOPUS:105018526799
SN - 1043-3074
VL - 48
SP - 549
EP - 569
JO - Head and Neck
JF - Head and Neck
IS - 2
ER -