scholarly journals Voice Restoration with Low Pressure Blom Singer Voice Prosthesis after Total Laryngectomy

2003 ◽  
Vol 44 (4) ◽  
pp. 615 ◽  
Author(s):  
Yücel Akbaş ◽  
Gürsel Dursun
Keyword(s):  
Total Laryngectomy ◽  
Low Pressure ◽  
Voice Prosthesis ◽  
Voice Restoration

The acceptability of secondary tracheo-oesophageal fistula creation in long standing laryngectomees

1992 ◽  
Vol 106 (3) ◽  
pp. 231-233
Author(s):  
A. E. Camilleri ◽  
K. Mackenzie
Keyword(s):  
Head And Neck ◽  
Total Laryngectomy ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Voice Prosthesis ◽  
Royal Infirmary ◽  
Voice Restoration ◽  
Glasgow Royal Infirmary ◽  
Outpatient Consultation

AbstractThe use of a tracheo-oesophageal voice prosthesis was introduced to the Glasgow Royal Infirmary Otolaryngology, Head and Neck Surgery unit in 1986. Although it was the authors' impression that most total laryngectomees since then had been offered this method of voice restoration, it was thought that long standing laryngectomees were seldom offered tracheo-oesophageal fistula (TOF) speech. Therefore all 58 total laryngectomees currently attending the combined head and neck surgery/radiotherapy clinic were assessed. Thirtytwo had a tracheo-oesophargeal fistula with voice prosthesis. All of these patients had undergone their total laryngectomy since 1986 and 83 per cent had achieved TOF speech. The remaining 26 patients (who mostly had their laryngectomy before 1986) had not been offered TOF speech. An outpatient consultation was arranged for these patients and 63 per cent of those offered, accepted TOF creation and a voice prosthesis. When compared to those who refused, it was found that good oesophageal speech, age or interval since laryngectomy were not good predictors of likely refusal. This study indicates that all fit long standing laryngectomees should be offered secondary TOF creation.

scholarly journals Voice Restoration and Long-term Progress in Voice Rehabilitation Using the Provox2 Voice Prosthesis after Total Laryngectomy

2010 ◽  
Vol 113 (11) ◽  
pp. 838-843
Author(s):  
Tomonori Terada ◽  
Nobuo Saeki ◽  
Nobuhiro Uwa ◽  
Kosuke Sagawa ◽  
Takeshi Mohri ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation ◽  
Voice Restoration

Botulinum neurotoxin for management of intractable central leakage through a voice prosthesis in surgical voice restoration

2006 ◽  
Vol 120 (9) ◽  
pp. 789-792 ◽  
Author(s):  
G P J Mullan ◽  
M T Lee ◽  
P M Clarke
Keyword(s):  
Muscle Contraction ◽  
Total Laryngectomy ◽  
Botulinum Neurotoxin ◽  
Voice Prosthesis ◽  
New Technique ◽  
Voice Restoration ◽  
Upper Oesophageal Sphincter ◽  
A New Technique ◽  
Increased Pressure ◽  
Voice And Speech

Rehabilitation of voice and speech after total laryngectomy has become established practice in recent years. A voice prosthesis is placed within a surgically produced fistula between the trachea and upper oesophagus and acts as a one way valve, allowing passage of pulmonary air from the trachea into the oesophagus and preventing aspiration of food and fluid from the oesophagus into the trachea. Persistent leakage through or around these prostheses is a recognized complication, the aetiology of which can vary widely, from mechanical issues with the prostheses themselves to anatomical and physiological issues associated with the reconstructed pharynx.We report a new technique of using Dysport® in the management of intractable central leakage due to premature and forceful closure of the upper oesophageal sphincter during swallowing. This resulted in the pooling of fluids around the posterior flange of the prosthesis. This, along with the increased pressure from the muscle contraction, led to central leakage, as identified on videofluoroscopy. An injection of Dysport paralysed the upper oesophageal sphincter, preventing pooling of fluids around the prosthesis and the forcing open of the valve. The effect was to eliminate the leakage, and the patient did not require further injections over the following 22 months.

Prevention of aspiration following recurrent dislodgement of voice prosthesis: a patient's innovation

2008 ◽  
Vol 123 (6) ◽  
pp. 680-682
Author(s):  
M Masaany ◽  
M B Marina ◽  
A Asma ◽  
A Sani
Keyword(s):  
Total Laryngectomy ◽  
World Literature ◽  
Tracheoesophageal Fistula ◽  
Voice Prosthesis ◽  
Voice Restoration ◽  
The World ◽  
Carcinoma Of The Larynx ◽  
Cheap Method ◽  
Tracheal Stoma ◽  
The Voice

AbstractObjective:To demonstrate a simple, practical, cheap method of preventing potentially fatal aspiration of a dislodged voice prosthesis; this method was developed by a laryngectomised patient.Case report:A patient diagnosed with squamous cell carcinoma of the larynx underwent total laryngectomy. Upon completion of radiotherapy, a tracheoesophageal fistula was created and a voice prosthesis inserted to enable voice restoration. Unfortunately, the patient presented subsequently with repeated episodes of dislodgement and an episode of potentially fatal aspiration of the voice prosthesis, despite various measures taken by the surgeons to overcome the problem. The patient subsequently developed a method enabling him to retrieve the voice prosthesis himself should it become dislodged. He attached a ring to the prosthesis, which was larger in diameter than the tracheal stoma, thus preventing ingestion or recurrence of aspiration.Conclusion:To our knowledge, this is the first report in the world literature of this form of innovation, created by a laryngectomised patient, to overcome the problem of aspiration or ingestion of a dislodged voice prosthesis.

Long-term Progress and Complications of Voice Rehabilitation using Voice Prosthesis after Total Laryngectomy

2009 ◽  
Vol 60 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Takashi Nasu ◽  
Shuji Koike ◽  
Daisuke Noda ◽  
Yoshihiro Onoe ◽  
Masaru Aoyagi
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation

Periprosthetic Leakage in Tracheoesophageal Prosthesis: Proposal of a Standardized Therapeutic Algorithm

2021 ◽  
pp. 019459982098334
Author(s):  
Claudio Parrilla ◽  
Ylenia Longobardi ◽  
Jacopo Galli ◽  
Mario Rigante ◽  
Gaetano Paludetti ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Retrospective Cohort ◽  
Voice Prosthesis ◽  
Management Algorithm ◽  
Therapeutic Algorithm ◽  
Periprosthetic Leakage ◽  
Tracheoesophageal Puncture ◽  
The University ◽  
The Voice

Objective Periprosthetic leakage represents the most demanding long-term complication in the voice prosthesis rehabilitation. The aim of this article is to discuss the various causes of periprosthetic leakage and to propose a systematic management algorithm. Study Design Retrospective cohort study. Setting Otolaryngology clinic of the University Polyclinic A. Gemelli–IRCCS Foundation. Methods The study included 115 patients with voice prosthesis who were treated from December 2014 to December 2019. All patients who experienced periprosthetic leakage were treated with the same step-by-step therapeutic approach until it was successful. Incidence, management, and success rate of every attempt are analyzed and discussed. Results Periprosthetic leakage was reported 330 times by 82 patients in 1374 clinic accesses. Radiotherapy, timing of tracheoesophageal puncture, and type of total laryngectomy (primary or salvage) did not influence the incidence of periprosthetic leakage. Salvage total laryngectomy increases the risk of more clinically relevant leakages. Conclusion By using a systematic algorithm with a step-by-step standardized approach, periprosthetic leakage management could become a less treacherous issue.

scholarly journals Voice Rehabilitation after Total Laryngectomy Using the Provox R Voice Prosthesis

2003 ◽  
Vol 106 (11) ◽  
pp. 1093-1100 ◽  
Author(s):  
Hiroyuki Yamada ◽  
Shin-ichiro Nishii ◽  
Shigetoshi Sakabe ◽  
Ryoji Ishida
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation

’The holiday plug‘: a temporary solution to the problem of the leaking voice prosthesis

1993 ◽  
Vol 107 (12) ◽  
pp. 1149-1150
Author(s):  
Simon N. Rogers ◽  
Andrew Batch ◽  
David Powell ◽  
Kaye Radford
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Short Paper ◽  
Patient Visit ◽  
Temporary Solution ◽  
The Voice

AbstractTracheo-oesophageal prostheses are commonly inserted in patients following total laryngectomy to improve the quality of the voice. Unfortunately the device eventually fails and requires replacement. A valve change, although well tolerated by patients, necessitates an out-patient visit and delay in its replacement can lead to problems of pneumonia or dehydration. In this short paper we describe a simple temporary solution for a leaking valve and recommend its use in patients who are delayed in returning to the unit for example when on holiday.

Sign in / Sign up

Export Citation Format

Share Document