{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T01:14:41Z","timestamp":1768353281155,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T00:00:00Z","timestamp":1547769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Tracheostomy is associated with negative effects on voice, speech, and feeding\/swallowing. Speaking valves have beneficial effects in these areas but are often contra\u2010indicated in children with airway problems due to high transtracheal pressure (TTP). Valves are modified by drilling to reduce excessive TTP. We hypothesized that a standardized approach to assessment and valve modification by drilling improves valve tolerance and allows widespread successful use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Following development of a standardized multidisciplinary protocol for patient selection, valve modification and valve prescription at our center, we retrospectively collected information from clinical notes relating to clinical indication and medical history of all children undergoing speaking valve assessment from February 2014 to June 2017. We designed a questionnaire which was delivered to the parents of children receiving both modified and standard valves enquiring about voice, feeding, communication, and suctioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data on 45 children were collected. Thirteen had normal TTP and were given standard valves and 32 had high TTP, all of whom had their valves modified resulting in good tolerance. 17 Children were on positive pressure ventilation at the time of placement. The survey response rate was 83%. Parents report a high degree of satisfaction with modified valves and report positive effects in terms of voice, speech, and feeding\/swallowing similar to those reported for standard valves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Speaking valves can be successfully and safely modified in children, providing valves to many patients previously deemed unsuitable. We report positive parental experiences of these modified valves in line with those reported with standard valves.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.24209","type":"journal-article","created":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T09:24:13Z","timestamp":1547803453000},"page":"428-435","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Tracheostomy speaking valve modification in children: A standardized approach leads to widespread use"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8089-4259","authenticated-orcid":false,"given":"Zelda M.","family":"Greene","sequence":"first","affiliation":[{"name":"Departments of Speech and Language Therapy Our Lady's Children's Hospital Crumlin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jim","family":"Davenport","sequence":"additional","affiliation":[{"name":"Departments of Clinical Engineering Our Lady's Children's Hospital Crumlin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siobhan","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Departments of Paediatric Otorhinolaryngology Our Lady's Children's Hospital Crumlin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Russell","sequence":"additional","affiliation":[{"name":"Departments of Paediatric Otorhinolaryngology Our Lady's Children's Hospital Crumlin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"McNally","sequence":"additional","affiliation":[{"name":"Departments of Respiratory Medicine Our Lady's Children's Hospital Crumlin Dublin Ireland"},{"name":"National Children's Research Centre Our Lady's Children's Hospital Crumlin Dublin Ireland"},{"name":"Department of Paediatrics Royal College of Surgeons in Ireland Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.5.523"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05366"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.1107"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2016.02.014"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814531731"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21206"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0305000900013076"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(85)80017-3"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00316.2003"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(95)01258-3"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3603.529"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-011-2417-8"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00245-1"},{"key":"e_1_2_7_15_1","first-page":"571","article-title":"Tolerance of the Passy\u2010Muir Speaking Valve in infants and children less than 2 years of age","volume":"23","author":"Engleman SG","year":"1997","journal-title":"Pediatr Nurs"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199306000-00013"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3803.549"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20077"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23436"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12776"},{"key":"e_1_2_7_21_1","unstructured":"Passy Muir Tracheostomy and Ventilator Swallowing and Speaking Valves Instruction Booklet.2012 Passy Muir Inc: California."},{"key":"e_1_2_7_22_1","unstructured":"Passy Muir Trachesotomy and Ventilator Speaking Valve Resource Guide. October 1997 revised March 2003 Available online at:http:\/\/www.passy\u2010muir.com\/sites\/default\/files\/pdf\/resource_guide.pdf."}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.24209","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.24209","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ppul.24209","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.24209","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T20:32:53Z","timestamp":1694377973000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.24209"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,18]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1002\/ppul.24209"],"URL":"https:\/\/doi.org\/10.1002\/ppul.24209","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,18]]},"assertion":[{"value":"2018-01-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}