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Voice Prosthesis Surgery in Kolkata

Voice Prosthesis Surgery

Voice Prosthesis Surgery in Kolkata

A Voice Prosthesis can restore communication after a total Laryngectomy through a Tracheoesophageal Puncture (TEP). This safe procedure involves creating an opening between the trachea and oesophagus, allowing patients to force air into the oesophagus through a voice prosthesis (valve), producing speech-like sounds. TEP is typically performed three to six months post-surgery under general anaesthesia. Initially, a temporary prosthesis is placed, replaced by a permanent one after about a week. Patients undergo speech therapy to learn how to use the voice prosthesis effectively. Follow-up time and suture type are crucial factors affecting prosthesis lifespan, highlighting the importance of post-operative care and rehabilitation.

Manipal Hospitals' advanced facilities and specialised expertise play a crucial role in Voice Prosthesis Surgery in Kolkata. Our skilled surgical teams ensure that patients receive the best possible results by performing Tracheoesophageal Puncture (TEP) operations with accuracy. Furthermore, Manipal Hospitals provide thorough pre-operative evaluations, post-operative care, and assistance with rehabilitation, which includes speech therapy. We prioritise individualised treatment regimens with a patient-centric approach, enabling patients to restore functional communication following Laryngectomy. 

 

FAQ's

People who have undergone a total Laryngectomy are eligible for Tracheoesophageal Puncture (TEP) Surgery to restore speech. However, individuals with poor lung function, uncontrolled diabetes, severe hypothyroidism, or compromised skin integrity on the neck may not be suitable candidates. TEP involves creating an opening between the trachea and oesophagus, facilitating the use of a voice prosthesis for speech. It ensures that patients can safely undergo the procedure and benefit from vocal rehabilitation while minimising potential complications associated with underlying health conditions.
 

TEP surgery, typically performed concurrently with a total Laryngectomy or separately, involves creating a small hole between the trachea and oesophagus. This hole, approximately the size of a pencil eraser, accommodates a one-way valve called a tracheoesophageal voice prosthesis. This valve directs airflow into the throat, enabling speech. During total Laryngectomy, the larynx is removed, and a stoma, a permanent breathing opening, is created by connecting the lower portion of the windpipe to the skin.
 

Learning how to use the prosthesis is not complicated, even though it requires supervision and practice. For the majority of patients, covering their stoma, breathing coordination, and prosthesis cleaning can be mastered after a few speech therapy sessions. In addition to filtering the air you breathe and preserving lung humidity, accessories can make it simpler to cover your stoma.
 

There are 3 main types of valves used, such as:

  • Blom-Singer valves (external valves): They need to be removed for cleaning. Most people maintain these valves on their own.

  • Groningen valve (internal valve) and Provox valve (internal and exterior valve) should be left in place until they need to be changed. Approximately every six months, or sooner if there is a leak. A physician, nurse, or therapist with specialised training must replace them.

Advantages:

  • Voice quality that sounds the most natural

  • Simple to use hands-free speaking option with certain accessories

Disadvantages:

  • Regular maintenance is required as compared to alternative solutions

  • Follow-up visits may be necessary to address any difficulties. There's a chance that problems may arise that require more visits.

A battery-operated device called an electronic larynx (electrolarynx) makes sound so you can speak. They come in a wide variety of kinds and models, but they are typically comparable in size to a little electric razor.
 

Tracheoesophageal Punctures, which are done for the placement of a voice prosthesis, have some risks and might result in complications. Included are the following dangers and issues:

  • Medications-related allergies

  • Trouble breathing

  • Infection

  • Bleeding

  • Aspiration

  • A prosthetic device failing

  • Damage to the oesophagus or trachea

You may insert a little tube into the corner of your mouth or hold the machine up to your neck. The machine emits sound when you press the button. Words may be formed out of sounds by moving your mouth and tongue. The electrolarynx might be the best speech method for you in case:
 

  • You are waiting to have a vocal prosthesis placed later because you are unable to have a voice prosthesis (TEP) due to medical reasons. You did not have a voice prosthesis placed during your operation.

  • You require a lot of practice and instruction from a speech and language therapist in order to operate an electrolarynx. Although most individuals can be understood, the speech has a robotic quality.

  • For two weeks following surgery, refrain from lifting, bending, and straining. You can carefully wash your teeth.

  • Start with liquids and work your way up to soft meals and a complete diet as tolerated. After surgery, stay away from hot beverages and meals for 24 hours.

  • Follow the instructions on how to take care of your stoma.

  • To avoid infection, you could be prescribed antibiotics after surgery. It could be necessary for you to take painkillers as directed by your doctor if you are in discomfort. Attend regular follow-ups.

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