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

Some bleeding during and after removal of the prosthesis

Problem: during and after removal of the prosthesis some bleeding is noticeable

Slight bleeding from the edges of the TE-fistula may occur during replacement of the prosthesis. This is mostly the result of removal of the old device and not of the insertion of the new prosthesis. This bleeding will normally cease spontaneously. Patients undergoing anticoagulant therapy should be carefully evaluated for the risk of hemorrhage prior to placement or replacement of the prosthesis. It is also advisable to reassure the patient that the traces of blood they might notice in the sputum in the first few days after replacement of the prosthesis are not worrisome and no sign of a pulmonary malignancy. Obviously, if they keep seeing these traces of blood they should be encouraged to make an earlier clinic appointment in order to establish whether some form of diagnostic imaging is needed.

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