Tracheoesophageal Voice Prosthesis Use and Maintenance in Laryngectomees …
· PDF 檔案speaking. It is nevertheless important to prevent chronic leakage that can lead to aspiration into the lungs. Leakage around the voice prosthesis is less common and is mainly due to TEP tract dilation or the inability to grip the prosthesis.12 It has been linked to
My Voice: Methods of speaking after laryngectomy
tracheoesophageal puncture or TEP). The puncture is made at the back of the trachea and goes into the esophagus . The HME or automatic speaking valve can be attached in front of the tracheostoma in 3 different ways: by means of an adhesive
Modification of the LaryButton for Tracheoesophageal …
The LaryButton was introduced in 2006 as a new tracheostomal attachment for the hands-free speaking valve. 2 A technique was previously published to modify a similar device, the Barton button, that improved the ability to use a hands-free speaking valve from 57% using the standard Barton button to 85% after specific modifications were made to the device. 3,4 Improved retention and seal of the
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TEP – Tracheoesophageal Puncture
[FIGURE 1 OMITTED] Tracheoesophageal puncture (TEP) with speaking-valve placement is the preferred method of voice rehabilitation in patients postlaryngectomy. Seldinger technique for in-office tracheoesophageal puncture
The air goes through the one-way valve of the prosthesis, then up your esophagus, where muscle vibrations help to produce voice. You can either cover your stoma with your finger when speaking, or you can get a “hands-free” tracheostoma valve. A TEP lets you
Tracheoesophageal Puncture: Background, Indications, …
· When comparing primary TEP to secondary TEP, the literature shows no significant difference in outcomes initially or at later follow-up, with success rates in the 75-90% range after 2 years. [ 16 , 17 , 18 ] Although Chone et al have shown a possibly decreased failure rate in primary versus secondary TEP, the sample size in the study was small. [ 16 ]
Rehabilitation after laryngectomy
TEP • Was first introduced by Blom and Singer in 1979 • One way silicone valve is introduced via the fistula • This valve served as one way conduit for air into esophagus while preventing aspiration • This prosthesis has two flanges, one enters the esophagus while the
About Your Total Laryngectomy
· This is a method of speaking that involves your doctor making a hole between your trachea and your esophagus, using a procedure called a tracheoesophageal puncture (TEP). This puncture can be done during your laryngectomy surgery or as a separate procedure after you have healed (usually 3 to 6 months after).
More than 90% of the participants in a clincial study were able to speak hands-free with Provox FreeHands FlexiVoice. About half of the users used it every day.* Available in four membranes: Light, Medium, Strong, XtraStrong Allows the flexibility of speaking hands
SLP Tracheostomy/Laryngectomy Flashcards
-Place speaking valve with RT, nursing, family, slp-Teach pt to place speaking valve **Most important thing to remember is that the cuff must be deflated before the speaking valve is placed*-Once tolerating speaking valve can move to swallowing trials
Learn more about the comprehensive speech-language pathology diagnostics and treatment options offered by Penn State Health Otolaryngology. Disorders affecting speech and swallowing Penn State Health Otolaryngology offers a robust speech-language pathology program that evaluates and treats a wide range of speech, language, cognitive, voice and feeding/swallowing disorders.
Tracheostomy in Infants and Children
A speaking valve should initially be trialed in a monitored setting, either in-patient or out-patient. The specified time periods of trialing are then recommended based on the patient’s response to the valve (ie, tolerance to the change in breathing pattern, fatigue level, and behavioral disposition).
Humidophone Speaking Valve with an HME Filter Combiphon® Speaking Valve Optibrush®Cannula Cleaning Brush FAHL Tracheal Compress Buchanan BIB IVALON Nasal Packing – 4.5 Cm & 8 Cm Nasal Packing with Airway – 4.5 Cm & 8 Cm Packings 8 Cm