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

• Cho JH

• KMID: 2554798
• DOI: http://doi.org/10.22469/jkslp.2024.35.1.1

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