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Earlier non-electric devices were called mechanical larynxes. Along with developing esophageal voice , using a speech synthesizer , or undergoing a surgical procedure, the electrolarynx serves as a mode of speech recovery for laryngectomy patients.
A voice prosthesis (plural prostheses) is an artificial device, usually made of silicone that is used in conjunction with voice therapy to help laryngectomized patients to speak. During a total laryngectomy, the entire voice box is removed and the windpipe and food pipe are separated from each other. During this operation an opening between the ...
Laryngectomy is the removal of the larynx. In a total laryngectomy, the entire larynx is removed (including the vocal folds , hyoid bone , epiglottis , thyroid and cricoid cartilage and a few tracheal cartilage rings) with the separation of the airway from the mouth , nose and esophagus . [ 1 ]
HME devices can be attached to the tracheostoma in two different ways: peristomally, by use of a base plate, to which the HME can be attached, and intraluminally, by putting the HME into a laryngectomy tube or a stoma button. Adhesive baseplates come in different shapes and properties to meet the users’ differences in anatomy and skin types.
HMEs used for laryngectomees are mostly hygroscopic. HMEs can vary in size but they are designed to fit all adhesives or other attachment devices within a certain product line. HME cassettes for tracheotomy patients vary in size and are usually a bit larger than for laryngectomy patients. Air openings are at the side or at the front of the HME.
A tracheo-esophageal puncture (or tracheoesophageal puncture) is a surgically created hole between the trachea (windpipe) and the esophagus (food pipe) in a person who has had a total laryngectomy, a surgery where the larynx (voice box) is removed. The purpose of the puncture is to restore a person’s ability to speak after the vocal cords ...