Primary tonicity control of the PE-segment
Provox FreeHands HME automatic speaking valve
Surgical techniques of tracheostoma reconstruction
Total laryngectomy
Alternative surgical technique of secondary puncture
Anterograde insertion is difficult due to local infection
Anterograde replacement is difficult due to a small stoma
During retrograde insertion the guide wire gets stuck in the neoglottis
Original Provox Voice Prosthesis
Provox2 Voice Prosthesis
Replacement of the Provox (1) voice prosthesis
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Replacement of the Provox (1) voice prosthesis
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
Conclusion
Confusing hands-free TE-speech with esophageal speech
Hypotonicity of the neoglottis
Introduction
Troubleshooting
Introduction
Troubleshooting
Introduction
Troubleshooting
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Deep stoma interfering with application of peristomal devices
Hypotonicity of the neoglottis
Important basic principles in voice rehabilitation in prosthetic speech
Problem solving
References
Surgical technique
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Surgical techniques of tracheostoma reconstruction
Total laryngectomy
Tracheostoma construction
Weak/whispery/aphonic voice
Surgical technique
Surgical techniques of tracheostoma reconstruction
Total laryngectomy
Tracheostoma construction
Conclusion
Introduction
Provox FreeHands HME
Provox HME
Reference
References
Total laryngectomy
Closure of the membrane
Help
Hypotonicity of the neoglottis
Intratracheal fixation
Introduction
Outline of voice therapy
Replacement of the Provox (1) voice prosthesis
Seal of the adhesive does not last long
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Voicing increasingly difficult, not improved after replacement
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Reference
References
Indications
Reference
References
Introduction
Preoperative counseling
Problem solving
Introduction
Patient maintenance
Assembling and disassembling the HME
Deep stoma interfering with application of peristomal devices
General Introduction
Peristomal attachment
Problem solving
Problems with intratracheal fixation
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox HME
Provox LaryTube
References
Surgical technique
Tracheostoma construction
Intratracheal fixation
TE fistula too wide to hold a voice prosthesis, surgery not an option
General aspects of patient instruction
Indications
References
Indications
References
Reference
References
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Seal of the adhesive does not last long
Air escaping underneath cough-relief valve
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Decrease backpressure
Elevated intra-tracheal pressure and effort for voicing
Hypertonicity/spasm of the neoglottis
Indications
Introduction
Preoperative screening
Primary tonicity control of the PE-segment
Problem solving
Total laryngectomy
Voice sounds strenuous and speaking requires too much effort
Decrease backpressure
Hypertonicity/spasm of the neoglottis
Indications
Introduction
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Hypertonicity/spasm of the neoglottis
Indications
References
Total laryngectomy
Hypotonicity of the neoglottis
Problem solving
Weak/whispery/aphonic voice
Hypotonicity of the neoglottis
Weak/whispery/aphonic voice