Description of a novel technique for creation of a custom-made prosthesis to aid vocalisation following laryngectomy.

Autor: Halliday E; Department of ENT, Shrewsbury and Telford Hospital NHS Trust, Royal Shrewsbury Hospital, Mytton Oak Road, SY3 8XQ Shrewsbury, United Kingdom. Electronic address: edwin.halliday@gmail.com., Beswick H; Maxillofacial and Orthodontic Laboratory, Shrewsbury and Telford Hospital NHS Trust, Royal Shrewsbury Hospital, Mytton Oak Road, SY3 8XQ Shrewsbury, United Kingdom., Bunn S; Maxillofacial and Orthodontic Laboratory, Shrewsbury and Telford Hospital NHS Trust, Royal Shrewsbury Hospital, Mytton Oak Road, SY3 8XQ Shrewsbury, United Kingdom., Ahsan SF; Department of ENT, Shrewsbury and Telford Hospital NHS Trust, Royal Shrewsbury Hospital, Mytton Oak Road, SY3 8XQ Shrewsbury, United Kingdom.
Jazyk: angličtina
Zdroj: European annals of otorhinolaryngology, head and neck diseases [Eur Ann Otorhinolaryngol Head Neck Dis] 2021 Dec; Vol. 138 (6), pp. 475-477. Date of Electronic Publication: 2021 Mar 22.
DOI: 10.1016/j.anorl.2020.11.015
Abstrakt: There are various options to restore phonation after laryngectomy; one option involves using tracheo-oesophageal voice by placing a speaking valve through the tracheo-oesophageal wall. Some patients struggle to obtain good fixation of an adhesive base plate to the skin; this can result in air leakage and poor voice. We describe a technique using a custom-made prosthesis to provide a better base plate for fixation of the heat and moisture exchange cassette. This technique involves making an impression of the anterior neck around the laryngectomy stoma to create an anatomically fitted prosthesis, which accurately fills the void around the stoma. The custom-made prosthesis provides a more individualised fit compared to a standard base plate, helping improve vocalisation and communication.
(Copyright © 2021 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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