J Korean Soc Laryngol Phoniatr Logoped.  2024 Apr;35(1):1-5. 10.22469/jkslp.2024.35.1.1.

Long-Term Management of Voice Rehabilitation Using Voice Prosthesis (Provox®) After Total Laryngectomy

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea

Abstract

Voice rehabilitation after total laryngectomy is of paramount importance for improving quality of life following surgery. Tracheoesophageal voice with a voice prosthesis has been considered the gold standard for voice rehabilitation. The success rate of voice rehabilitation using a voice prosthesis is known to be over 90%. However, voice prostheses require regular replacement. The average lifespan of the device is four to six months. Common reasons for replacement include leakage around or within the prosthesis (endo- or periprosthetic leakage). Adjustments to the prosthesis may be necessary to address these adverse events. Provox® (Atos medical, Sweden) has been one of the most widely used voice prostheses. It offers a range of devices to address various issues. Regular follow-up appointments are essential for monitoring voice quality, identifying and addressing any complications, and providing ongoing support and guidance.

Keyword

Total laryngectomy; Voice rehabilitation; Tracheoesophageal voice; Voice prosthesis; 후두전적출술; 음성 재활; 기관식도 발성; 음성보형물
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