Reference
References
Alternative surgical technique of secondary puncture
Comments
Interfering hypertrophic tissue in the TEP area
Surgical techniques of tracheostoma reconstruction
TE fistula migrated upwards outside the trachea, voicing problematic
Reference
References
Air leakage under membrane
Conclusion
Cough-relief valve opens when patient is speaking loud
Decrease backpressure
Intratracheal fixation
Introduction
No voice sound
Peristomal attachment
Proper adjustment of the cough-relief valve
Provox LaryTube
Seal of the adhesive does not last long
Speech therapy. What to practice to optimize hands-free speech
Alternative surgical technique of secondary puncture
Comments
Surgical instruments
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
TE fistula deep down in trachea, making replacement troublesome
Reference
References
Alternative surgical technique of secondary puncture
Candida overgrowth
Choosing the right prosthesis length
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 even with the shortest length (4.5 mm)
Local infection, prosthesis displaced
Peristomal attachment
Pharyngeal reconstruction and prosthetic voice rehabilitation
Problem solving
Prosthesis extruding from the fistula tract
Prosthesis has disappeared and seems to be ingested
Surgical constrictor pharyngeus myotomy
Surgical technique
Surgical technique of primary TE puncture and introduction of the Provox voice prosthesis
TE fistula deep down in trachea, making replacement troublesome
Using the walk and talk position
Candida overgrowth
Problem solving
How much to downsize in case of shortening of the fistula tract
Local infection, prosthesis seems to be OK
Phrase length, speech rate, maximum phonation time
Some points of attention for the ‘finishing touch’
Speech rate
Decrease backpressure
Important basic principles in voice rehabilitation in prosthetic speech
Intelligibility
Introduction
Preoperative screening
Problem solving
Speech therapy. What to practice to optimize hands-free speech
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Voice sounds strenuous and speaking requires too much effort
Voicing problems
Comments
Conclusions
Introduction
Pharyngeal reconstruction and prosthetic voice rehabilitation
Preoperative screening
References
Stenosis of the neopharynx
Surgical technique of secondary TE puncture and introduction of the Provox voice prosthesis
Surgical techniques of tracheostoma reconstruction
Tracheostoma construction
Introduction
Surgical techniques of tracheostoma reconstruction
Deep stoma interfering with application of peristomal devices
Surgical technique
Surgical techniques of tracheostoma reconstruction
Total laryngectomy
Tracheostoma construction
Surgical technique
Surgical techniques of tracheostoma reconstruction
Total laryngectomy
Tracheostoma construction
Reference
References
Conclusions
Introduction
Intratracheal fixation
Original Provox Voice Prosthesis
Problems with intratracheal fixation
Replacement of the Provox (1) voice prosthesis
TE fistula too wide to hold a voice prosthesis, surgery not an option
Leakage around the prosthesis even with the shortest length (4.5 mm)
Local infection, prosthesis displaced
Surgical constrictor pharyngeus myotomy
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
Provox FreeHands HME automatic speaking valve
References