Tipps und Tricks beim erschwerten Stimmprothesenwechsel und ein neues retrogrades Wechselverfahren

Zusammenfassung

Stimmprothesen bieten laryngektomierten Patienten die Möglichkeit, postoperativ schnell verbal zu kommunizieren, was soziale Interaktionen erleichtert, die Rehabilitation beschleunigt und die Lebensqualität enorm verbessert.

Gründe, die einen Stimmprothesenwechsel mehrfach im Jahr erforderlich machen, sind zahlreich. Der Prothesenwechsel lässt sich hierbei meist problemlos ambulant bei leichter Oberflächenanästhesie der Trachea durchführen. In manchen Fällen gestaltet sich der Prothesenwechsel jedoch schwierig. Die Ursachen hierfür und mögliche Problemlösungen mit Schwerpunkt auf einem retrograden Wechselverfahren sollen hier dargestellt werden. Der Artikel soll insbesondere als Hilfestellung für Kollegen dienen, die ihre Behandlungsmöglichkeiten beim Stimmprothesenwechsel erweitern möchten.

Abstract

The implantation of a voice prosthesis has become a standard procedure during a laryngectomy. A voice prostheses enables patients to develop speech shortly after surgery, which strongly improves rehabilitation and quality of life.

The lifetime of a voice prosthesis is limited and highly variable due to different causes. A replacement is usually necessary several times a year and can easily been done in an outpatient setting with surface anesthesia. In some cases, replacing the prosthesis becomes difficult. This article will take a closer look at different reasons that can lead to difficulties in prostheses replacement and discuss possible solutions, thereby focusing especially on a retrograde technique.

The aim of this article is to help colleagues that already have experience with voice prostheses and want to expand their therapeutic armamentarium.

Schlüsselwörter

Stimmrehabilitation - Laryngektomie - komplizierter Stimmprothesenwechsel - Therapiemöglichkeiten - retrograder Stimmprothesenwechsel

Keywords

replacement of voice prostheses - troubleshooting - retrograde replacement

Publication History

Received: 22 August 2022

Accepted after revision: 05 December 2022

Article published online:
02 June 2023

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