Page 41 - Prosthetic voice rehabilitation-5th edition

41 In case of the PVPS, the procedure is similar, but care should be taken that, when advancing the guide wire through the needle and further upward through the pharynx and oral cavity, it is not caught into the mucosa, because the tip of the PVPS guide wire is not blunt like that of the original Provox guide wire. With the PVPS, the procedure is also increasingly carried out under local anesthesia and direct flexible endoscopic view, which allows checking correct passage of the guide wire, which is important when the clinician decides not to use pharynx protection.