Page 4 - Prosthetic voice rehabilitation-5th edition
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6 5.5.1 Pharynx stenosis ............................................................................................... 87 5.5.2 Narrow stoma and VP replacement ................................................................... 87 5.5.3 Deep stoma and peristomal devices.................................................................. 87 5.5.4 VP pushed into the esophagus? ........................................................................ 88 5.6 Voicing issues...................................................................................................89 5.6.1 Impaired voicing not improving after VP replacement ....................................... 89 5.6.2 VP too long ........................................................................................................ 89 5.6.3 VP too short - esophageal pouch ...................................................................... 89 5.6.4 Strenuous, effortful voicing - hypertonicity ......................................................... 89 5.6.5 Weak, aphonic voicing - hypotonicity................................................................. 90 5.6.6 Voicing blocked during stoma occlusion........................................................... 91 Reference list .................................................................................................... 92 5.5 Non-device/TEP-tract issues ...........................................................................87 5.4.2.2.3 Posterior hypertrophic tissue/esophageal pouch.................................. 83 5.4.3 Other TEP-tract issues ...................................................................................... 84 5.4.3.1 VP replacement with hemorrhage............................................................... 84 5.4.3.2 VP missing .................................................................................................. 84 5.4.3.2.1 VP ingested? ........................................................................................ 84 5.4.3.2.2 VP aspirated? ....................................................................................... 85 5.4.3.3 TEP tract too wide, surgery not an option ................................................... 85 5.4.3.4 TEP tract too low in trachea, replacement troublesome ............................. 86 5.4.3.5 TEP tract too high in trachea/stoma............................................................ 86 4
