Speech restoration

This research was completed on 31 October 2004

Project Leader	Mr S R Ell MD, FRCS(ORL-HNS) and Dr M J Fagan BSc, PhD, CEng, MBCS.
Location	Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary in conjunction with the Department of Engineering, University of Hull.
Grant awarded	7 March 2002
Start date	1 May 2002
End date	31 October 2004
Grant amount	£67,730.00
Grant code	AP0922

Patients with throat cancer, whose voice box must be removed, inevitably lose the power of speech. Speech can be restored by using a small silicone valve that connects the wind pipe with the back of the throat. Air, powered by the lungs, is diverted into the throat and formed into speech, retaining the patient's dialect. The valves, however, only last about 3 months and need to be changed; a procedure which is uncomfortable and sometimes distressing. There are about 12,000 valve changes every year in the UK, at an estimated cost to the NHS of £8 million. A reduction in the frequency of valve changes would therefore be welcome to both patients and the health service. The aims of this project are firstly to understand the precise causes of valve failure and then to use the latest computer aided design techniques to develop a new valve design which can continue to operate for much longer. This research has the potential to significantly improve the quality of life of thousands of patients.