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

Replacement procedures

Replacement of both the original Provox (figure right) and the Provox2 voice prosthesis should be carried out by a medical professional trained in the procedure. A good view on the tracheostoma using the headlight is mandatory and a suction system is very helpful. Use good metal suction tube. One or two curved non-toothed hemostats should be at hand.

With the original Provox prosthesis good assistance during replacement in the outpatient office, preferably by a trained nurse, is recommended. The replacement of the Provox2 prosthesis is considerably easier and can be carried out without assistance.
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© The Netherlands Cancer Institute - 2003-18; ISBN 90-75575-05-X