Anterograde insertion is difficult due to local infection
Anterograde replacement is difficult due to a small stoma
Candida overgrowth
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Choosing the membrane
Choosing the right prosthesis length
Comments
Conclusions
Decrease backpressure
General aspects of patient instruction
General Introduction
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Intratracheal fixation
Introduction
No voice sound
Patient maintenance
Peristomal attachment
Pharyngeal reconstruction and prosthetic voice rehabilitation
Phrase length, speech rate, maximum phonation time
Problem solving
Problems with intratracheal fixation
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox LaryTube
Provox measure
Provox2 Voice Prosthesis
References
Replacement of other voice prostheses by Provox
Replacement procedures
Seal of the adhesive does not last long
Shortness of breath
Surgical technique
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
Troubleshooting
Use of the cleaning container
Voicing increasingly difficult, not improved after replacement
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Introduction
Troubleshooting
Breath-support/breath-voice coordination
Candida overgrowth
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Closure of the membrane
Comments
Confusing hands-free TE-speech with esophageal speech
Fluency
General aspects of patient instruction
Hypotonicity of the neoglottis
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Interfering hypertrophic tissue in the TEP area
Intratracheal fixation
Introduction
Leakage around the prosthesis even with the shortest length (4.5 mm)
Peristomal attachment
Pharyngeal reconstruction and prosthetic voice rehabilitation
Pitch, loudness, intonation
Problems with intratracheal fixation
Provox dilator
Provox FreeHands HME automatic speaking valve
Provox LaryTube
Provox2 Voice Prosthesis
References
Replacement procedures
Seal of the adhesive does not last long
Shortness of breath
Surgical techniques of tracheostoma reconstruction
TE fistula migrated upwards outside the trachea, voicing problematic
Tracheostoma construction
Troubleshooting
Using the walk and talk position
Additional remarks in conjunction with prosthesis replacement
Air escaping underneath cough-relief valve
Air leakage under membrane
Assembling and disassembling the HME
Attachment of the valve
Breath-support/breath-voice coordination
Candida overgrowth
Choosing the membrane
Closure of the membrane
Conclusion
Decrease backpressure
Deep stoma interfering with application of peristomal devices
General aspects of patient instruction
Indications
Intratracheal fixation
Introduction
Leakage through the prosthesis
Original Provox Voice Prosthesis
Patient maintenance
Peristomal attachment
Phrase length, speech rate, maximum phonation time
Pitch, loudness, intonation
Problem solving
Proper adjustment of the cough-relief valve
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox LaryTube
Provox2 Voice Prosthesis
Reference
References
Seal of the adhesive does not last long
Shortness of breath
Speech therapy. What to practice to optimize hands-free speech
Surgical technique
Too much noise of cough-relief valve when coughing
Total laryngectomy
Tracheostoma construction
Troubleshooting
Use of the cleaning container
Using the walk and talk position
Very frequent replacement due to leakage
Voicing is blocked by finger pressure on the stoma/voice prosthesis
General aspects of patient instruction
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Introduction
Problem solving
Reference
References
Important basic principles in voice rehabilitation in prosthetic speech
Introduction
Problem solving
Reference
References
Leakage around the prosthesis even with the shortest length (4.5 mm)
Primary tonicity control of the PE-segment
Surgical technique
Total laryngectomy
Assembling and disassembling the HME
Choosing the membrane
Important basic principles in voice rehabilitation in prosthetic speech
Proper adjustment of the cough-relief valve
Provox2 voice prosthesis
Replacement of the Provox (1) voice prosthesis
Use of the cleaning container
Using the walk and talk position
Video clips
Choosing the right prosthesis length
Provox2 voice prosthesis
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Hypertonicity/spasm of the neoglottis
Introduction
Problem solving
Videofluoroscopy
Voice sounds strenuous and speaking requires too much effort
Provox2 Voice Prosthesis
References
Conclusions
General Introduction
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Intelligibility
Introduction
Original Provox Voice Prosthesis
Pharyngeal reconstruction and prosthetic voice rehabilitation
Preoperative counseling
Preoperative screening
Problem solving
Prosthesis has disappeared and seems to be aspirated
Prosthesis has disappeared and seems to be ingested
Reference
References
Surgical techniques of tracheostoma reconstruction
TE fistula deep down in trachea, making replacement troublesome
Total laryngectomy
Important basic principles in voice rehabilitation in prosthetic speech
Introduction
Outline of voice therapy