This is the content of the updated chapter on the Provox system in the downloadable PDF on the Provoxweb page.
Surgery .............................................................................................................22
1. Primary prosthetic voice rehabilitation ................................................................22
1.1 ....Total Laryngectomy ....................................................................................22
1.2 ....Primary TEP and direct fit of the voice prosthesis ............................................23
1.3 ....Primary tonicity control of the PE-segment ....................................................26
1.4 ....Tracheostoma construction ..........................................................................27
2. Secondary prosthetic voice rehabilitation ............................................................28
2.1 ....Indications ................................................................................................28
2.2 ....Preoperative screening ...............................................................................28
2.3 ....Secondary TEP and direct fit of the voice prosthesis ........................................29
2.4 ....Alternative technique secondary TEP ............................................................31
3. Secondary treatment PE segment hypertonicity. ...................................................33
3.1 ....Introduction ..............................................................................................33
3.2 ....Chemical denervation constrictor musculature with Botulinum toxin ..................33
3.3 ....Surgical constrictor pharyngeus myotomy .....................................................35
4. TEP tract closure ..............................................................................................35
4.1 ....Indications ................................................................................................36
4.2 ....Surgical technique.......................................... ...........................................36
5. Stoma revision ................................................................................................38
5.1 ....Introduction ..............................................................................................38
5.2 ....Surgical techniques for stoma reconstruction .................................................38
5.3 Comments and Conclusions .............................................................................40
5.4 ....References ................................................................................................41
6. Pharynx reconstruction and prosthetic voice rehabilitation .....................................42
6.1 References pharynx reconstruction: ..................................................................44
Surgery .............................................................................................................22
1. Primary prosthetic voice rehabilitation ................................................................22
1.1 ....Total Laryngectomy ....................................................................................22
1.2 ....Primary TEP and direct fit of the voice prosthesis ............................................23
1.3 ....Primary tonicity control of the PE-segment ....................................................26
1.4 ....Tracheostoma construction ..........................................................................27
2. Secondary prosthetic voice rehabilitation ............................................................28
2.1 ....Indications ................................................................................................28
2.2 ....Preoperative screening ...............................................................................28
2.3 ....Secondary TEP and direct fit of the voice prosthesis ........................................29
2.4 ....Alternative technique secondary TEP ............................................................31
3. Secondary treatment PE segment hypertonicity. ...................................................33
3.1 ....Introduction ..............................................................................................33
3.2 ....Chemical denervation constrictor musculature with Botulinum toxin ..................33
3.3 ....Surgical constrictor pharyngeus myotomy .....................................................35
4. TEP tract closure ..............................................................................................35
4.1 ....Indications ................................................................................................36
4.2 ....Surgical technique.......................................... ...........................................36
5. Stoma revision ................................................................................................38
5.1 ....Introduction ..............................................................................................38
5.2 ....Surgical techniques for stoma reconstruction .................................................38
5.3 Comments and Conclusions .............................................................................40
5.4 ....References ................................................................................................41
6. Pharynx reconstruction and prosthetic voice rehabilitation .....................................42
6.1 References pharynx reconstruction: ..................................................................44