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[Practical aspects of voice prosthesis use after laryngectomy]
1HNO-Klinik, Klinikum Ludwigshafen, Ludwigshafen. DELANKW@kilu.de
Laryngo- Rhino- Otologie
|December 22, 2007
Summary
Voice prostheses are standard for speech after total laryngectomy, enabling 80-90% of patients to speak well. This paper details common voice prosthesis issues like leakage and biofilm, and their management.
Area of Science:
- Otolaryngology
- Speech Pathology
Background:
- Surgical voice restoration using voice prostheses is a standard procedure following total laryngectomy.
- This method allows 80-90% of patients to achieve good or excellent vocal outcomes.
Purpose of the Study:
- To explain the application of common voice prostheses.
- To outline the management strategies for frequent complications associated with voice prostheses.
Main Methods:
- Review of current voice prosthesis types.
- Discussion of common complications and their clinical management.
- Emphasis on minor issues such as leakage, biofilm formation, and fistula problems.
Main Results:
- Voice prostheses are effective for speech restoration in most post-laryngectomy patients.
- Minor complications, including leakage, biofilm, and fistula issues, are common despite advancements in prosthesis design.
- Effective management strategies exist for these prevalent problems.
Conclusions:
- Voice prostheses remain a vital tool for vocal rehabilitation after total laryngectomy.
- Addressing common issues like leakage and biofilm is crucial for optimizing patient outcomes.
- This paper provides practical guidance for clinicians managing voice prosthesis complications.
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