Page 88 - Prosthetic voice rehabilitation-5th edition

the stoma. Alternatively, patients use a cannula or a button to still be able to apply the HME and/or ASV. 5.5.4 VP pushed into the esophagus? Although it has been common practice for some medical professionals to push the prosthesis through the TEP tract into the esophagus, allowing the device to travel through the intestinal tract, some caution is warranted. Although this rarely has caused problems, some incidences have been reported worthwhile mentioning. In our Institute we have had a patient in whom the prosthesis caused esophageal obstruction, because it was trapped in a not yet detected esophageal carcinoma. In the literature, there is also a case report of sub- acute bowel obstruction in a patient with a history of abdominal surgery.103 Although rare, these examples should be kept in mind if the choice is made to push the prosthesis through the TEP tract into the esophagus. 104. Hiltmann O, Buntrock M, Hagen R. [Mechanical ileus caused by a Provox voice prosthesis -- an iatrogenic enteral complication in voice prosthesis rehabilitation of laryngectomees]. Laryngorhinootologie 2002; 81:890-893 88