Leakage around the prosthesis even with the shortest length (4.5 mm)
Surgical techniques of tracheostoma reconstruction
Reference
References
Clinical research on rehabilitation of olfaction
General Introduction
References
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
References
Indications
References
Peristomal attachment
Provox LaryTube
General aspects of patient instruction
References
Reference
References
General Introduction
References
Alternative surgical technique of secondary puncture
Assembling and disassembling the HME
Choosing the membrane
Comments
Provox FreeHands HME
Provox measure
Surgical technique of primary TE puncture and introduction of the Provox voice prosthesis
Surgical techniques of tracheostoma reconstruction
Tracheostoma construction
Conclusion
General aspects of patient instruction
General Introduction
Important basic principles in voice rehabilitation in prosthetic speech
Preoperative counseling
Provox2 voice prosthesis
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Indications
Introduction
Preoperative screening
Primary tonicity control of the PE-segment
Problem solving
Surgical technique of primary TE puncture and introduction of the Provox voice prosthesis
Indications
Introduction
Indications
Primary tonicity control of the PE-segment
Stenosis of the neopharynx
Perceptual evaluations
References
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Total laryngectomy
Attachment of the valve
Deep stoma interfering with application of peristomal devices
Peristomal attachment
Provox FreeHands HME automatic speaking valve
Tracheostoma construction
Attachment of the valve
Deep stoma interfering with application of peristomal devices
Peristomal attachment
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Introduction
Preoperative screening
Surgical constrictor pharyngeus myotomy
Total laryngectomy
Introduction
Preoperative screening
Primary tonicity control of the PE-segment
Provox FreeHands HME
Surgical instruments
Surgical technique of primary TE puncture and introduction of the Provox voice prosthesis
Anterograde replacement is difficult due to a small stoma
Deep stoma interfering with application of peristomal devices
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Surgical technique
Total laryngectomy
General aspects of patient instruction
Patient maintenance
Pharyngeal reconstruction and prosthetic voice rehabilitation
TE fistula migrated upwards outside the trachea, voicing problematic
Additional remarks in conjunction with prosthesis replacement
Introduction
Problem solving
Replacement of the Provox (1) voice prosthesis
Some points of attention for the ‘finishing touch’
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
TE fistula migrated upwards outside the trachea, voicing problematic
General Introduction
References
Additional remarks in conjunction with prosthesis replacement
Air escaping underneath cough-relief valve
Anterograde insertion is difficult due to local infection
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Choosing the membrane
Cough-relief valve opens when patient is speaking loud
Hypotonicity of the neoglottis
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Interfering hypertrophic tissue in the TEP area
Introduction
Problem solving
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox2 voice prosthesis
Replacement of other voice prostheses by Provox
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
Surgical techniques of tracheostoma reconstruction
TE fistula deep down in trachea, making replacement troublesome
Total laryngectomy
Using the walk and talk position
Voicing increasingly difficult, not improved after replacement
Weak/whispery/aphonic voice
Additional remarks in conjunction with prosthesis replacement
Air escaping underneath cough-relief valve
Air leakage under membrane
Alternative surgical technique of secondary puncture
Anterograde insertion is difficult due to local infection
Anterograde replacement is difficult due to a small stoma
Assembling and disassembling the HME
Attachment of the valve
Breath-support/breath-voice coordination
Candida overgrowth
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Choosing the membrane
Choosing the right prosthesis length
Closure of the membrane
Comments
Conclusion
Conclusions
Confusing hands-free TE-speech with esophageal speech
Copyright information
Cough-relief valve opens when patient is speaking loud
Decrease backpressure
Deep stoma interfering with application of peristomal devices
During retrograde insertion the guide wire gets stuck in the neoglottis
Elevated intra-tracheal pressure and effort for voicing
Fluency
General aspects of patient instruction
General Introduction
Granulation tissue interfering with the prosthesis
How much to downsize in case of shortening of the fistula tract
Hypertonicity/spasm of the neoglottis
Hypotonicity of the neoglottis
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Intelligibility
Interfering hypertrophic tissue in the TEP area
Intratracheal fixation
Introduction
Is it possible to remove the prosthesis by pushing the device into the esophagus
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
Local infection, prosthesis displaced
Local infection, prosthesis seems to be OK
No voice sound
Original Provox Voice Prosthesis
Outline of voice therapy
Patient maintenance
Peristomal attachment
Pharyngeal reconstruction and prosthetic voice rehabilitation
Phrase length, speech rate, maximum phonation time
Pitch, loudness, intonation
Preoperative counseling
Preoperative screening
Primary tonicity control of the PE-segment
Problem solving
Problems with intratracheal fixation
Proper adjustment of the cough-relief valve
Prosody
Prosthesis extruding from the fistula tract
Prosthesis has disappeared and seems to be aspirated
Prosthesis has disappeared and seems to be ingested
Provox dilator
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox HME
Provox LaryTube
Provox measure
Provox2 Voice Prosthesis
Reference
References
Replacement of other voice prostheses by Provox
Replacement of the Provox (1) voice prosthesis
Replacement procedures
Seal of the adhesive does not last long
Shortness of breath
Shouting
Some bleeding during and after removal of the prosthesis
Some points of attention for the ‘finishing touch’
Speech rate
Speech therapy. What to practice to optimize hands-free speech
Stenosis of the neopharynx
Surgical constrictor pharyngeus myotomy
Surgical instruments
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
TE fistula deep down in trachea, making replacement troublesome
TE fistula migrated upwards outside the trachea, voicing problematic
TE fistula too wide to hold a voice prosthesis, surgery not an option
There seems to be a 'separation of the party wall'
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
Voice sounds strenuous and speaking requires too much effort
Voicing increasingly difficult, not improved after replacement
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Voicing problems
Weak/whispery/aphonic voice
Additional remarks in conjunction with prosthesis replacement
Air escaping underneath cough-relief valve
Air leakage under membrane
Alternative surgical technique of secondary puncture
Anterograde insertion is difficult due to local infection
Anterograde replacement is difficult due to a small stoma
Assembling and disassembling the HME
Attachment of the valve
Breath-support/breath-voice coordination
Candida overgrowth
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Choosing the membrane
Choosing the right prosthesis length
Closure of the membrane
Comments
Conclusion
Conclusions
Confusing hands-free TE-speech with esophageal speech
Copyright information
Cough-relief valve opens when patient is speaking loud
Decrease backpressure
Deep stoma interfering with application of peristomal devices
During retrograde insertion the guide wire gets stuck in the neoglottis
Elevated intra-tracheal pressure and effort for voicing
Fluency
General aspects of patient instruction
General Introduction
Granulation tissue interfering with the prosthesis
How much to downsize in case of shortening of the fistula tract
Hypertonicity/spasm of the neoglottis
Hypotonicity of the neoglottis
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Intelligibility
Interfering hypertrophic tissue in the TEP area
Intratracheal fixation
Introduction
Is it possible to remove the prosthesis by pushing the device into the esophagus
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
Local infection, prosthesis displaced
Local infection, prosthesis seems to be OK
No voice sound
Original Provox Voice Prosthesis
Outline of voice therapy
Patient maintenance
Peristomal attachment
Pharyngeal reconstruction and prosthetic voice rehabilitation
Phrase length, speech rate, maximum phonation time
Pitch, loudness, intonation
Preoperative counseling
Preoperative screening
Primary tonicity control of the PE-segment
Problem solving
Problems with intratracheal fixation
Proper adjustment of the cough-relief valve
Prosody
Prosthesis extruding from the fistula tract
Prosthesis has disappeared and seems to be aspirated
Prosthesis has disappeared and seems to be ingested
Provox dilator
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox HME
Provox LaryTube
Provox measure
Provox2 Voice Prosthesis
Reference
References
Replacement of other voice prostheses by Provox
Replacement of the Provox (1) voice prosthesis
Replacement procedures
Seal of the adhesive does not last long
Shortness of breath
Shouting
Some bleeding during and after removal of the prosthesis
Some points of attention for the ‘finishing touch’
Speech rate
Speech therapy. What to practice to optimize hands-free speech
Stenosis of the neopharynx
Surgical constrictor pharyngeus myotomy
Surgical instruments
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
TE fistula deep down in trachea, making replacement troublesome
TE fistula migrated upwards outside the trachea, voicing problematic
TE fistula too wide to hold a voice prosthesis, surgery not an option
There seems to be a 'separation of the party wall'
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
Voice sounds strenuous and speaking requires too much effort
Voicing increasingly difficult, not improved after replacement
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Voicing problems
Weak/whispery/aphonic voice
Additional remarks in conjunction with prosthesis replacement
Air escaping underneath cough-relief valve
Air leakage under membrane
Alternative surgical technique of secondary puncture
Assembling and disassembling the HME
Attachment of the valve
Breath-support/breath-voice coordination
Candida overgrowth
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Choosing the membrane
Choosing the right prosthesis length
Closure of the membrane
Comments
Conclusion
Conclusions
Confusing hands-free TE-speech with esophageal speech
Copyright information
Cough-relief valve opens when patient is speaking loud
Decrease backpressure
Fluency
General aspects of patient instruction
General Introduction
Hypertonicity/spasm of the neoglottis
Hypotonicity of the neoglottis
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Intelligibility
Intratracheal fixation
Introduction
Leakage through the prosthesis
No voice sound
Original Provox Voice Prosthesis
Outline of voice therapy
Patient maintenance
Peristomal attachment
Pharyngeal reconstruction and prosthetic voice rehabilitation
Phrase length, speech rate, maximum phonation time
Pitch, loudness, intonation
Preoperative counseling
Preoperative screening
Primary tonicity control of the PE-segment
Problem solving
Problems with intratracheal fixation
Proper adjustment of the cough-relief valve
Prosody
Provox dilator
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox HME
Provox LaryTube
Provox measure
Provox2 Voice Prosthesis
Reference
References
Replacement of other voice prostheses by Provox
Replacement of the Provox (1) voice prosthesis
Replacement procedures
Seal of the adhesive does not last long
Shortness of breath
Shouting
Some points of attention for the ‘finishing touch’
Speech rate
Speech therapy. What to practice to optimize hands-free speech
Surgical constrictor pharyngeus myotomy
Surgical instruments
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
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 problems
Weak/whispery/aphonic voice
General Introduction
Indications
Preoperative counseling
References
Pharyngeal reconstruction and prosthetic voice rehabilitation
Tracheostoma construction
Reference
References
Reference
References
Additional remarks in conjunction with prosthesis replacement
Air escaping underneath cough-relief valve
Air leakage under membrane
Alternative surgical technique of secondary puncture
Anterograde insertion is difficult due to local infection
Anterograde replacement is difficult due to a small stoma
Assembling and disassembling the HME
Attachment of the valve
Breath-support/breath-voice coordination
Candida overgrowth
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Choosing the membrane
Choosing the right prosthesis length
Closure of the membrane
Comments
Conclusion
Conclusions
Confusing hands-free TE-speech with esophageal speech
Copyright information
Cough-relief valve opens when patient is speaking loud
Decrease backpressure
Deep stoma interfering with application of peristomal devices
During retrograde insertion the guide wire gets stuck in the neoglottis
Elevated intra-tracheal pressure and effort for voicing
Fluency
General aspects of patient instruction
General Introduction
Granulation tissue interfering with the prosthesis
How much to downsize in case of shortening of the fistula tract
Hypertonicity/spasm of the neoglottis
Hypotonicity of the neoglottis
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Intelligibility
Interfering hypertrophic tissue in the TEP area
Intratracheal fixation
Introduction
Is it possible to remove the prosthesis by pushing the device into the esophagus
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
Local infection, prosthesis displaced
Local infection, prosthesis seems to be OK
No voice sound
Original Provox Voice Prosthesis
Outline of voice therapy
Patient maintenance
Peristomal attachment
Pharyngeal reconstruction and prosthetic voice rehabilitation
Phrase length, speech rate, maximum phonation time
Pitch, loudness, intonation
Preoperative counseling
Preoperative screening
Primary tonicity control of the PE-segment
Problem solving
Problems with intratracheal fixation
Proper adjustment of the cough-relief valve
Prosody
Prosthesis extruding from the fistula tract
Prosthesis has disappeared and seems to be aspirated
Prosthesis has disappeared and seems to be ingested
Provox dilator
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox HME
Provox LaryTube
Provox measure
Provox2 Voice Prosthesis
Reference
References
Replacement of other voice prostheses by Provox
Replacement of the Provox (1) voice prosthesis
Replacement procedures
Seal of the adhesive does not last long
Shortness of breath
Shouting
Some bleeding during and after removal of the prosthesis
Some points of attention for the ‘finishing touch’
Speech rate
Speech therapy. What to practice to optimize hands-free speech
Stenosis of the neopharynx
Surgical constrictor pharyngeus myotomy
Surgical instruments
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
TE fistula deep down in trachea, making replacement troublesome
TE fistula migrated upwards outside the trachea, voicing problematic
TE fistula too wide to hold a voice prosthesis, surgery not an option
There seems to be a 'separation of the party wall'
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
Voice sounds strenuous and speaking requires too much effort
Voicing increasingly difficult, not improved after replacement
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Voicing problems
Weak/whispery/aphonic voice
Additional remarks in conjunction with prosthesis replacement
Air escaping underneath cough-relief valve
Air leakage under membrane
Alternative surgical technique of secondary puncture
Assembling and disassembling the HME
Attachment of the valve
Breath-support/breath-voice coordination
Candida overgrowth
Chemical denervation of constrictor pharyngeus muscles with Botulinum toxin
Choosing the membrane
Choosing the right prosthesis length
Closure of the membrane
Comments
Conclusion
Conclusions
Confusing hands-free TE-speech with esophageal speech
Copyright information
Cough-relief valve opens when patient is speaking loud
Decrease backpressure
Fluency
General aspects of patient instruction
General Introduction
Hypertonicity/spasm of the neoglottis
Hypotonicity of the neoglottis
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Intelligibility
Intratracheal fixation
Introduction
Leakage through the prosthesis
No voice sound
Original Provox Voice Prosthesis
Outline of voice therapy
Patient maintenance
Peristomal attachment
Pharyngeal reconstruction and prosthetic voice rehabilitation
Phrase length, speech rate, maximum phonation time
Pitch, loudness, intonation
Preoperative counseling
Preoperative screening
Primary tonicity control of the PE-segment
Problem solving
Problems with intratracheal fixation
Proper adjustment of the cough-relief valve
Prosody
Provox dilator
Provox FreeHands HME
Provox FreeHands HME automatic speaking valve
Provox HME
Provox LaryTube
Provox measure
Provox2 Voice Prosthesis
Reference
References
Replacement of other voice prostheses by Provox
Replacement of the Provox (1) voice prosthesis
Replacement procedures
Seal of the adhesive does not last long
Shortness of breath
Shouting
Some points of attention for the ‘finishing touch’
Speech rate
Speech therapy. What to practice to optimize hands-free speech
Surgical constrictor pharyngeus myotomy
Surgical instruments
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
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 problems
Weak/whispery/aphonic voice
Outline of voice therapy
Preoperative counseling
Preoperative screening
Air escaping underneath cough-relief valve
Anterograde insertion is difficult due to local infection
Anterograde replacement is difficult due to a small stoma
Breath-support/breath-voice coordination
Comments
Conclusions
Deep stoma interfering with application of peristomal devices
During retrograde insertion the guide wire gets stuck in the neoglottis
Elevated intra-tracheal pressure and effort for voicing
General aspects of patient instruction
General Introduction
Granulation tissue interfering with the prosthesis
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Interfering hypertrophic tissue in the TEP area
Intratracheal fixation
Introduction
Is it possible to remove the prosthesis by pushing the device into the esophagus
Leakage around the prosthesis and the prosthesis is too long
Leakage around the prosthesis even with the shortest length (4.5 mm)
Local infection, prosthesis displaced
Local infection, prosthesis seems to be OK
Patient maintenance
Preoperative counseling
Preoperative screening
Problem solving
Problems with intratracheal fixation
Proper adjustment of the cough-relief valve
Prosthesis extruding from the fistula tract
Prosthesis has disappeared and seems to be aspirated
Prosthesis has disappeared and seems to be ingested
Provox measure
Replacement of other voice prostheses by Provox
Some bleeding during and after removal of the prosthesis
Stenosis of the neopharynx
TE fistula deep down in trachea, making replacement troublesome
TE fistula migrated upwards outside the trachea, voicing problematic
TE fistula too wide to hold a voice prosthesis, surgery not an option
There seems to be a 'separation of the party wall'
Too much noise of cough-relief valve when coughing
Voice sounds strenuous and speaking requires too much effort
Voicing increasingly difficult, not improved after replacement
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Voicing problems
Problem solving
Voicing problems
Additional remarks in conjunction with prosthesis replacement
Alternative surgical technique of secondary puncture
Anterograde replacement is difficult due to a small stoma
Attachment of the valve
Candida overgrowth
Choosing the right prosthesis length
Conclusions
Deep stoma interfering with application of peristomal devices
During retrograde insertion the guide wire gets stuck in the neoglottis
Elevated intra-tracheal pressure and effort for voicing
General aspects of patient instruction
General Introduction
Granulation tissue interfering with the prosthesis
How much to downsize in case of shortening of the fistula tract
Important basic principles in voice rehabilitation in prosthetic speech
Indications
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Interfering hypertrophic tissue in the TEP area
Intratracheal fixation
Introduction
Is it possible to remove the prosthesis by pushing the device into the esophagus
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
Local infection, prosthesis displaced
Local infection, prosthesis seems to be OK
Original Provox Voice Prosthesis
Outline of voice therapy
Patient maintenance
Pharyngeal reconstruction and prosthetic voice rehabilitation
Preoperative screening
Problem solving
Problems with intratracheal fixation
Prosthesis extruding from the fistula tract
Prosthesis has disappeared and seems to be aspirated
Prosthesis has disappeared and seems to be ingested
Provox dilator
Provox LaryTube
Provox measure
Provox2 Voice Prosthesis
References
Replacement of other voice prostheses by Provox
Replacement of the Provox (1) voice prosthesis
Replacement procedures
Some bleeding during and after removal of the prosthesis
Stenosis of the neopharynx
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
TE fistula deep down in trachea, making replacement troublesome
TE fistula migrated upwards outside the trachea, voicing problematic