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Figure 1: Normal anatomy (L) and
anatomic changes after total laryngectomy.
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Figure 2: Artificial larynx (Electrolarynx),
neck placement (L) and intraoral placement.
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Figure 3: Esophageal speech.
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Figure 4: Tracheoesophageal (TE) speech.
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Figure 5: Prostheses for tracheoesophageal voice restoration
(16- and 20-Fr), InHealth low pressure (L)
and Bivona duckbill;
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Figure 6: Indwelling prostheses for tracheoesophageal
voice restoration, ATOS Provox 2 (L)
and InHealth InDwelling.
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Figure 7: Tracheostoma breathing valves (TSBV)
and types of neck attachments (L-R)
Bivona springloaded TSBV with intraluminal attachment,
ATOS Provox Larytube with ring and TSBV,
Peristomal attachment of a single valve housing
(note TE voice prosthesis at superior portion of stoma),
InHealth TruSeal adhesive housing
for peristomal attachment and adjustable TSBV,
Barton Mayo Button (L),
button placed within the stoma (middle),
and button with TSBV attached
(note the lack of peristomal adhesives and tapes).
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Figure 8: Heat and moisture exchange systems (L-R)
Kapitex Trachi-Naze Plus Stoma Stud and filters
and system worn by patient,
ATOS Provox adhesive base plates with HME cassettes,
InHealth Blom-Singer Adjustable Tracheostoma Valve II (ATSV II) kit with Humidifier Cap,
ATOS Provox Larytube with HME cassette;
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Figure 9: Problems with tracheoesophageal (TE)voice restoration,
Lateral radiograph demonstrating pharyngeal constrictor spasm.
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