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Voice prosthesis-assisted speech rehabilitation after total laryngectomy has proven to be successful in the majority of patients and exceeds the results of traditional oesophageal speech. Nevertheless 10-30% failure rates are still reported. In part this is due to prosthesis-related problems, in particular ingrowth of Candida species in the valve-bearing parts of the devices. A new indwelling, low-resistance and valveless voice prosthesis is described; the Nijdam voice prosthesis. The device has an average device lifetime of 19 weeks which appears to be superior to other indwelling voice prostheses. Replacement indications mainly comprise leakage or increased airflow resistance. Most frequent local complications are granulation tissue and hypertrophic scar tissue formation. These occur in 12% of the patients and can easily be treated. Replacement is a simple outpatient procedure. The prosthesis is interchangeable with other types of indwelling voice prosthesis.
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
January 2007,
Otolaryngologia polska = The Polish otolaryngology,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
November 1990,
The Laryngoscope,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
October 1993,
Clinical otolaryngology and allied sciences,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
January 2007,
Revue de laryngologie - otologie - rhinologie,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
November 2003,
Nihon Jibiinkoka Gakkai kaiho,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
January 1986,
Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
January 1987,
Revue de laryngologie - otologie - rhinologie,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
May 2010,
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
February 1984,
Clinical otolaryngology and allied sciences,
F J van den Hoogen, and
H F Nijdam, and
A Veenstra, and
J J Manni
January 2011,
Otolaryngologia polska = The Polish otolaryngology,
