Reference
References
Air escaping underneath cough-relief valve
Hypotonicity of the neoglottis
Intratracheal fixation
Introduction
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox2 voice prosthesis
Some bleeding during and after removal of the prosthesis
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Total laryngectomy
Important basic principles in voice rehabilitation in prosthetic speech
References
Reference
References
General Introduction
Introduction
Original Provox Voice Prosthesis
Outline of voice therapy
Patient maintenance
Preoperative counseling
References
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Treatment with inhalation medication in laryngectomized patients
Troubleshooting
Outline of voice therapy
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Treatment with inhalation medication in laryngectomized patients
Comments
Conclusions
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Introduction
Preoperative counseling
Provox2 Voice Prosthesis
Reference
References
Total laryngectomy
Anterograde replacement is difficult due to a small stoma
Intratracheal fixation
Problem solving
Provox FreeHands HME automatic speaking valve
Provox LaryTube
Seal of the adhesive does not last long
Reference
References
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Comments
Conclusion
Indications
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Interfering hypertrophic tissue in the TEP area
Introduction
Leakage around the prosthesis and the prosthesis is too long
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Surgical techniques of tracheostoma reconstruction
Tracheostoma construction
Using the walk and talk position
Voicing increasingly difficult, not improved after replacement
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Additional remarks in conjunction with prosthesis replacement
Air leakage under membrane
Candida overgrowth
General aspects of patient instruction
General Introduction
Indications
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Intratracheal fixation
Introduction
Leakage around the prosthesis and the prosthesis is too long
Leakage around the prosthesis even with the shortest length (4.5 mm)
Leakage through the prosthesis
Main complaint: Leakage
Patient maintenance
Prosthesis extruding from the fistula tract
Prosthesis has disappeared and seems to be aspirated
Prosthesis has disappeared and seems to be ingested
References
Surgical technique
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
TE fistula deep down in trachea, making replacement troublesome
Very frequent replacement due to leakage
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Additional remarks in conjunction with prosthesis replacement
Candida overgrowth
General aspects of patient instruction
Indications
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Introduction
Leakage around the prosthesis and the prosthesis is too long
Leakage through the prosthesis
Patient maintenance
Prosthesis extruding from the fistula tract
Very frequent replacement due to leakage
Introduction
Provox2 voice prosthesis
Replacement of the Provox (1) voice prosthesis
Air escaping underneath cough-relief valve
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Choosing the membrane
Decrease backpressure
General Introduction
Hypertonicity/spasm of the neoglottis
Hypotonicity of the neoglottis
Indications
Interfering hypertrophic tissue in the TEP area
Leakage around the prosthesis even with the shortest length (4.5 mm)
Local infection, prosthesis seems to be OK
Peristomal attachment
Problem solving
Proper adjustment of the cough-relief valve
Prosthesis has disappeared and seems to be ingested
Provox2 Voice Prosthesis
Seal of the adhesive does not last long
TE fistula deep down in trachea, making replacement troublesome
TE fistula migrated upwards outside the trachea, voicing problematic
Voicing is blocked by finger pressure on the stoma/voice prosthesis