Reference
References
Air leakage under membrane
Cough-relief valve opens when patient is speaking loud
Decrease backpressure
Intratracheal fixation
No voice sound
Peristomal attachment
Problem solving
Problems with intratracheal fixation
Proper adjustment of the cough-relief valve
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox LaryTube
Seal of the adhesive does not last long
Anterograde insertion is difficult due to local infection
Anterograde replacement is difficult due to a small stoma
General Introduction
Prosthesis extruding from the fistula tract
Provox2 Voice Prosthesis
References
Stenosis of the neopharynx
TE fistula too wide to hold a voice prosthesis, surgery not an option
Anterograde replacement is difficult due to a small stoma
General Introduction
Provox2 voice prosthesis
Stenosis of the neopharynx
Provox FreeHands HME automatic speaking valve
References
Decrease backpressure
Hypertonicity/spasm of the neoglottis
Intratracheal fixation
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Reference
References
Intratracheal fixation
No voice sound
Problems with intratracheal fixation
Seal of the adhesive does not last long
Intratracheal fixation
Problems with intratracheal fixation
General Introduction
Replacement of other voice prostheses by Provox
Reference
References
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Peristomal attachment
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Surgical techniques of tracheostoma reconstruction
Total laryngectomy
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Hypertonicity/spasm of the neoglottis
Preoperative screening
Problem solving
References
Voice sounds strenuous and speaking requires too much effort
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Introduction
References
Reference
References
Leakage through the prosthesis
Very frequent replacement due to leakage
Additional remarks in conjunction with prosthesis replacement
Candida overgrowth
General aspects of patient instruction
General Introduction
Patient maintenance
Problem solving
Candida overgrowth
Indications
Leakage through the prosthesis
Patient maintenance
Very frequent replacement due to leakage
Candida overgrowth
Indications
Leakage through the prosthesis
Patient maintenance
Very frequent replacement due to leakage
Alternative surgical technique of secondary puncture
Anterograde replacement is difficult due to a small stoma
Comments
Intratracheal fixation
Introduction
Leakage around the prosthesis even with the shortest length (4.5 mm)
Problem solving
Problems with intratracheal fixation
Prosthesis has disappeared and seems to be ingested
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox LaryTube
Surgical instruments
Surgical technique of primary TE puncture and introduction of the Provox voice prosthesis
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Surgical techniques of tracheostoma reconstruction
Tracheostoma construction
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Introduction
Troubleshooting
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Introduction
Choosing the membrane
Choosing the right prosthesis length
Compliance aspects
Improvements in compliance
References
Conclusion
Conclusions
Additional remarks in conjunction with prosthesis replacement
Deep stoma interfering with application of peristomal devices
Granulation tissue interfering with the prosthesis
Provox HME
There seems to be a 'separation of the party wall'
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Preoperative screening
Primary tonicity control of the PE-segment
Surgical constrictor pharyngeus myotomy
Total laryngectomy
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Use of the cleaning container
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Indications
Preoperative screening
Total laryngectomy
Breath-support/breath-voice coordination
Choosing the membrane
General aspects of patient instruction
Indications
Local infection, prosthesis displaced
Local infection, prosthesis seems to be OK
Patient maintenance
Peristomal attachment
Primary tonicity control of the PE-segment
Prosody
Shortness of breath
Local infection, prosthesis displaced
Local infection, prosthesis seems to be OK
Air escaping underneath cough-relief valve
Cough-relief valve opens when patient is speaking loud
Decrease backpressure
Proper adjustment of the cough-relief valve
Provox FreeHands HME automatic speaking valve
Seal of the adhesive does not last long
Shouting
Too much noise of cough-relief valve when coughing
How much to downsize in case of shortening of the fistula tract
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device