Selection of pediatric patients for use of the Passy-Muir valve for speech production

Sezelle A. Gereau, Gretchen C. Navarro, Bella Cluterio, Edward Mullan, Maha Bassila, Robert J. Ruben

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

A potential side effect of tracheotomy in the pediatric population is poor speech development. It has been well documented that children with tracheotomies have delays in expressive and receptive language out of proportion to the child's degree of intellectual functioning. While numerous methods of augmentative devices have been proposed, none are ideal for the child with a tracheotomy. Of the choices available, the Passy-Muir valve is best suited for use in the pediatric population. We present a method of selection of patients for Passy-Muir valve placement currently in use at Blythedale Children's Hospital. The criteria employed include measurement of trans-tracheal pressures. This has not previously been presented in the literature, but has been found to be of significant value in determining who will benefit most from Passy-Muir valve placement.

Original languageEnglish (US)
Pages (from-to)11-17
Number of pages7
JournalInternational journal of pediatric otorhinolaryngology
Volume35
Issue number1
DOIs
StatePublished - Mar 1996

Keywords

  • Passy-Muir
  • Speech development
  • Tracheotomy
  • Trans-tracheal

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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