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Clinical Problem-Solving in Tracheoesophageal Puncture Voice Restoration

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Clinical Care and Rehabilitation in Head and Neck Cancer

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Abstract

The medical management of advanced laryngeal cancer is shifting toward radiation with/without chemotherapy as a frontline treatment, resulting in an overall decreased incidence of total laryngectomy. When total laryngectomy is performed, these surgical procedures are often performed in larger teaching hospitals. Speech-Language Pathologists employed in smaller community hospitals typically have less experience in working with laryngectomized patients. In such circumstances, the management of those who undergo tracheoesophageal (TE) puncture voice restoration may confront problems that can be quite challenging. In order to comprehensively evaluate and treat those who have received TE voice restoration, the speech clinician must be knowledgeable about the types and applications of various voice prostheses available, as well as that pertaining to troubleshooting problems associated with prosthetic leakage and aphonia. This chapter discusses a range of problems associated with a TE puncture voice restoration and provides a systematic approach to assessment and potential solutions to manage these problems.

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Notes

  1. 1.

    The reader should be aware that many varieties of TE puncture voice prostheses are commercially available, many of which have been designed with particular patient needs in mind.

  2. 2.

    As shown in Fig. 12.1, lengths in mm, are provided on the sizing device.

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Authors and Affiliations

  1. Department of Speech Pathology and Audiology, University of Texas, MD Anderson Cancer Center, Houston, TX, USA

    Jodi Knott

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  1. Jodi Knott
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Correspondence to Jodi Knott .

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Editors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery and School of Communication Sciences & Disorders , Western University, London, ON, Canada

    Philip C. Doyle

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Knott, J. (2019). Clinical Problem-Solving in Tracheoesophageal Puncture Voice Restoration. In: Doyle, P. (eds) Clinical Care and Rehabilitation in Head and Neck Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-04702-3_12

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  • DOI: https://doi.org/10.1007/978-3-030-04702-3_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04701-6

  • Online ISBN: 978-3-030-04702-3

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