The implantation of a voice prosthesis has become a standard procedure during a laryngectomy. A voice prostheses enables patients to develop speech shortly after surgery, which strongly improves rehabilitation and quality of life.The lifetime of a voice prosthesis is limited and highly variable due to different causes. A replacement is usually necessary several times a year and can easily been done in an outpatient setting with surface anesthesia. In some cases, replacing the prosthesis becomes difficult. This article will take a closer look at different reasons that can lead to difficulties in prostheses replacement and discuss possible solutions, thereby focusing especially on a retrograde technique. The aim of this article is to help colleagues that already have experience with voice prostheses and want to expand their therapeutic armamentarium.
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| http://dx.doi.org/10.1055/a-2047-3703 | DOI Listing |
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- In Germany, around 950-1200 laryngectomies are performed each year due to serious throat cancers, which lead to major changes in voice and communication abilities, impacting mental health and social interactions.
- A multidisciplinary rehabilitation team is essential to help patients regain their communication skills through various methods like pseudowhispering, esophageal speech, and tracheoesophageal speech prostheses.
- Tracheoesophageal speech prostheses are considered the best option for clear voice production, but they require regular healthcare visits for maintenance, and educating patients on these methods is crucial for their social reintegration.
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