Provoxweb
  • Provoxweb
  • Voice--Speech Rehab
    • Speech Therapy >
      • Introduction
      • Preoperative counseling
      • Outline of voice therapy
      • Important basic principles in voice rehabilitation in prosthetic speech
      • Some points of attention for the 'finishing touch'
      • General aspects of patient instruction
      • Problem solving
      • Conclusion
  • Pulmonary Rehab
    • Introduction
    • Heat and Moisture Exchangers (HME's) >
      • Treatment aspects
      • Prevention aspects
    • Provox HME >
      • Compliance aspects
      • Improvements in compliance
      • Improvements in voicing
      • Early post-operative pulmonary hygiene
      • Breathing resistance
      • Newest Provox HMEs
    • Treatment with inhalation medication
    • Conclusions
    • References

Conclusions

In the light of the current wide-spread use of voice prostheses after laryngectomy, we believe that tracheostoma construction and reconstruction should be planned in consideration with prosthetic voice rehabilitation. If the voice prosthesis is successful, we advocate the use of the lateral flap techniques in the reconstruction of tracheostoma stenosis. In that way the prosthetic speech production is uninterrupted. If the stoma stenosis occurs together with TE fistula problems, temporary closure of the fistula might be considered in the same procedure.

© The Netherlands Cancer Institute - 2003-18; ISBN 90-75575-05-X