Additional remarks in conjunction with prosthesis replacement
Patients should be advised not to eat shortly before replacement of the prosthesis. Replacement on an empty stomach prevents vomiting during the procedure.
Patients should be instructed to clean the prosthesis with the special Provox cleaning brush and/or the Provox Flush. Because of the unobstructed lumen of the prosthesis, patients are often also able to clean the device by forced expectoration with the stoma closed, and should be instructed to do so.
The oval shape of the tracheal flange is helpful in determining the optimal position of the prosthesis. The oval end should point downwards, in which position the oblique esophageal ‘chimney’ is cranial and ‘protecting’ the valve.
Occasionally, mild leakage through or around the prosthesis may occur in the first weeks after introduction of a new prosthesis. This is often temporarily and no reason for immediate replacement of the prosthesis.
Patients should be instructed to clean the prosthesis with the special Provox cleaning brush and/or the Provox Flush. Because of the unobstructed lumen of the prosthesis, patients are often also able to clean the device by forced expectoration with the stoma closed, and should be instructed to do so.
The oval shape of the tracheal flange is helpful in determining the optimal position of the prosthesis. The oval end should point downwards, in which position the oblique esophageal ‘chimney’ is cranial and ‘protecting’ the valve.
Occasionally, mild leakage through or around the prosthesis may occur in the first weeks after introduction of a new prosthesis. This is often temporarily and no reason for immediate replacement of the prosthesis.