Leakage through the prosthesis
Original Provox Voice Prosthesis
Very frequent replacement due to leakage
Primary tonicity control of the PE-segment
Provox LaryTube
Replacement of other voice prostheses by Provox
Replacement procedures
Surgical technique of primary TE puncture and introduction of the Provox voice prosthesis
Comments
Conclusions
Introduction
Pharyngeal reconstruction and prosthetic voice rehabilitation
Problem solving
Reference
References
Surgical techniques of tracheostoma reconstruction
TE fistula migrated upwards outside the trachea, voicing problematic
Reference
References
Peristomal attachment
Preoperative screening
Conclusion
General Introduction
Indications
Introduction
Outline of voice therapy
Pharyngeal reconstruction and prosthetic voice rehabilitation
Preoperative counseling
Problem solving
Provox HME
References
Total laryngectomy
Tracheostoma construction
General Introduction
Interfering hypertrophic tissue in the TEP area
Introduction
Is it possible to remove the prosthesis by pushing the device into the esophagus
Leakage around the prosthesis even with the shortest length (4.5 mm)
Leakage through the prosthesis
Local infection, prosthesis displaced
Outline of voice therapy
Peristomal attachment
Primary tonicity control of the PE-segment
Problems with intratracheal fixation
Prosthesis has disappeared and seems to be ingested
Provox FreeHands HME automatic speaking valve
Provox LaryTube
Provox2 voice prosthesis
Replacement of the Provox (1) voice prosthesis
Seal of the adhesive does not last long
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
Total laryngectomy
Very frequent replacement due to leakage
Additional remarks in conjunction with prosthesis replacement
Anterograde replacement is difficult due to a small stoma
Candida overgrowth
Deep stoma interfering with application of peristomal devices
During retrograde insertion the guide wire gets stuck in the neoglottis
General aspects of patient instruction
General Introduction
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
Leakage around the prosthesis even with the shortest length (4.5 mm)
Leakage through the prosthesis
Local infection, prosthesis displaced
Original Provox Voice Prosthesis
Patient maintenance
Prosthesis extruding from the fistula tract
Provox dilator
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 of secondary TE puncture and introduction of the Provox voice prosthesis
TE fistula deep down in trachea, making replacement troublesome
There seems to be a 'separation of the party wall'
Very frequent replacement due to leakage
Voicing increasingly difficult, not improved after replacement
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Choosing the right prosthesis length
General Introduction
Insertion of a Provox voice prosthesis during TEP leading to leakage around the device
Introduction
Patient maintenance
Provox dilator
Provox2 voice prosthesis
Replacement of other voice prostheses by Provox
Total laryngectomy
Breathing resistance (Provox HME Cassette Normal versus HiFlow)
General Introduction
Introduction
Provox FreeHands HME automatic speaking valve
Provox2 Voice Prosthesis
References
Using the walk and talk position
Comments
Decrease backpressure
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
Indications
Intelligibility
Interfering hypertrophic tissue in the TEP area
Introduction
Leakage around the prosthesis and the prosthesis is too long
Local infection, prosthesis displaced
Local infection, prosthesis seems to be OK
Outline of voice therapy
Patient maintenance
Pharyngeal reconstruction and prosthetic voice rehabilitation
Preoperative screening
Primary tonicity control of the PE-segment
Problem solving
References
Some bleeding during and after removal of the prosthesis
Speech therapy. What to practice to optimize hands-free speech
Surgical constrictor pharyngeus myotomy
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Surgical techniques of tracheostoma reconstruction
TE fistula migrated upwards outside the trachea, voicing problematic
There seems to be a 'separation of the party wall'
Total laryngectomy
Tracheostoma construction
Troubleshooting
Voicing is blocked by finger pressure on the stoma/voice prosthesis
Introduction
Troubleshooting
Indications
Pharyngeal reconstruction and prosthetic voice rehabilitation