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Judith Robillard Shultz, MSc, S-LP (C), CCC-SLP; Jill Harrison, MSc, S-LP (C), CCC-SLP

Arch Otolaryngol Head Neck Surg. 1992;118(8):811-816.

Abstract
• There is considerable variability in the reported success rates of tracheoesophageal puncture due, in part, to the lack of a clear definition of success and a paucity of knowledge about factors that determine success. In this article, we define success on a continuum with the use of a 15-point rating scale that incorporates aspects of use and quality of speech and ability to care for the fistula and prosthesis. We suggest a cutoff score for functional and nonfunctional speakers. We define immediate and short- and long-term success. Variables related to the patient, clinician, surgical procedure, and extent of disease were subjected to a multiple regression analysis to determine which predicted success. Overall success was predicted by greater clinician expertise, younger patient age, and better patient health. We discuss the use of the rating scale and an equation to predict success.

(Arch Otolaryngol Head Neck Surg. 1992;118:811-816)

Author Affiliations
From the Department of Speech-Language Pathology and Audiology, The Montreal (Quebec) General Hospital.

Footnotes
Accepted for publication March 12, 1992.

Presented in part at the 14th Annual Conference of the Canadian Association of Speech-Language Pathologists and Audiologists, Toronto, Ontario, Canada, May 11, 1989.

Reprint requests to the Department of Speech-Language Pathology and Audiology, The Montreal General Hospital, 1650 Cedar Ave, Montreal, Quebec, Canada H3G 1A4 (Ms Robillard Shultz).

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