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

Surgical instruments

For the creation of the TE-fistula a special Trocar and Cannula has been developed*, which can be used both for primary and secondary puncture (figure bottom and right).

A Pharynx Protector has been designed for protection of the posterior esophageal wall and the fingers of the surgeon during primary TE-puncture. The handle of this instrument can be rotated to accommodate both right and left-handed surgeons. * Designed by: PK de Leng, former instrument maker at
The Netherlands Cancer Institute.

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