Practical Management of Periprosthetic Leakage in Patients Rehabilitated With a Provox® 2 Voice Prosthesis After Total Laryngectomy

2016 ◽  
Vol 67 (6) ◽  
pp. 301-305 ◽  
Author(s):  
Eviatar Friedlander ◽  
Paloma Pinacho Martínez ◽  
Daniel Poletti Serafini ◽  
Carlos Martín-Oviedo ◽  
Tomás Martínez Guirado ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Practical Management ◽  
Periprosthetic Leakage

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.

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

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.

Proof of Concept of a Tracheoesophageal Voice Prosthesis Insufflator for Speech Production After Total Laryngectomy

2017 ◽  
Vol 31 (4) ◽  
pp. 514.e1-514.e4
Author(s):  
Heather Starmer ◽  
Russell H. Taylor ◽  
Salem I. Noureldine ◽  
Jeremy D. Richmon
Keyword(s):  
Speech Production ◽  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Proof Of Concept

scholarly journals Insertion of Provox®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture

2005 ◽  
Vol 119 (12) ◽  
pp. 988-990 ◽  
Author(s):  
Raymond W M Ng ◽  
Paul Lam ◽  
Birgitta Y H Wong
Keyword(s):  
General Anaesthesia ◽  
Local Anaesthesia ◽  
Total Laryngectomy ◽  
Second Generation ◽  
Voice Prosthesis ◽  
Neck Stiffness ◽  
Neck Extension ◽  
Second Stage ◽  
Tracheoesophageal Puncture ◽  
The Voice

Insertion of a voice prosthesis through the tracheoesophageal puncture (TEP) is one way to restore the voice after total laryngectomy. The second generation Provox® voice prosthesis is presently one of the most popular devices. Although TEP can be done primarily, there are many centres that prefer it to be done at a second stage for various reasons. However, secondary TEP for retrograde replacement of prosthesis can be difficult and general anaesthesia is very often necessary. Moreover, the presence of neck stiffness and fibrosis from the surgery or previous radiotherapy could affect the neck extension for proper positioning of the trocar. Similarly, it is difficult to insert the prosthesis if there is stenosis at the pharyngoesophageal segment. We describe a technique in which creation of secondary TEP and insertion of Provox®2 is done with local anaesthesia under the same setting. The procedure is well tolerated and can be safely performed on an out-patient basis.

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