Page 53 - Prosthetic voice rehabilitation-5th edition

53 Well-healed wide stoma, one-year after the procedure. The scar of the V-Y flap still can be seen to the right of the stoma. Conclusions In the light of the current widespread use of voice prostheses after laryngectomy, we believe that tracheostoma construction and reconstruction should be planned in consideration with prosthetic voice rehabilitation. If the voice prosthesis is successful, we advocate the use of the lateral flap techniques in the reconstruction of tracheostoma stenosis. In that way the prosthetic speech production is uninterrupted. If the stoma stenosis occurs together with TEP tract problems, temporary closure of the TEP could be considered in the same procedure. 3.5.4 References 3. Hilgers FJM, Schouwenburg PF. A new low-resistance, self-retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy. Laryngoscope 1990; 100:1202-1207. 8. Hilgers FJ, Ackerstaff AH, Balm AJ, Tan IB, Aaronson NK, Persson JO. Development and clinical evaluation of a second-generation voice prosthesis (Provox 2), designed for anterograde and retrograde insertion. Acta Otolaryngol 1997; 117:889-896. 13. Hilgers FJ, Aaronson NK, Ackerstaff AH, Schouwenburg PF, van Zandwijk N. The influence of a heat and moisture exchanger (HME) on the respiratory symptoms after total laryngectomy. Clin Otolaryngol Allied Sci 1991; 16:152-156. 15. Ackerstaff AH, Hilgers FJ, Aaronson NK et al. Heat and moisture exchangers as a treatment option in the post-operative rehabilitation of laryngectomized patients. Clin Otolaryngol Allied Sci 1995; 20:504- 509. 16. Hilgers FJ, Ackerstaff AH, Balm AJ, Gregor RT. A new heat and moisture exchanger with speech valve (Provox stomafilter). Clin Otolaryngol Allied Sci 1996; 21:414-418. 17. Ackerstaff AH, Hilgers FJ, Balm AJ, Tan IB. Long-term compliance of laryngectomized patients with a specialized pulmonary rehabilitation device: Provox Stomafilter. Laryngoscope 1998; 108:257-260. 18. Van As CJ, Hilgers FJ, Koopmans-van Beinum FJ, Ackerstaff AH. The influence of stoma occlusion on aspects of tracheoesophageal voice. Acta Otolaryngol 1998; 118:732-738. 19. Hilgers FJ, Ackerstaff AH, van As CJ, Balm AJ, Van den Brekel MW, Tan IB. Development and clinical assessment of a heat and moisture exchanger with a multi-magnet automatic tracheostoma valve (Provox FreeHands HME) for vocal and pulmonary rehabilitation after total laryngectomy. Acta Otolaryngol 2003; 123:91-99. 23. Hilgers FJ, Ackerstaff AH, Jacobi I, Balm AJ, Tan IB, van den Brekel MW. Prospective clinical phase II study of two new indwelling voice prostheses (Provox Vega 22.5 and 20 Fr) and a novel anterograde insertion device (Provox Smart Inserter). Laryngoscope 2010; 120:1135-1143. 24. Hilgers FJ, Ackerstaff AH, van Rossum Met al. Clinical phase I/feasibility study of the next generation indwelling Provox voice prosthesis (Provox Vega). Acta Otolaryngol 2010; 130:511-519. 27. Hilgers FJ, Ackerstaff AH, Balm AJ, Van den Brekel MW, Bing Tan I, Persson JO. A new problem- solving indwelling voice prosthesis, eliminating the need for frequent Candida- and under-pressure- related replacements: Provox ActiValve. Acta Otolaryngol 2003; 123:972-979.