History
When was the first total laryngectomy performed?
1873
A leaking TEP is a an emergency situation
FALSE- it is not an emergency and can be dealt with by using strategies until you are able to see SLP for TEP change
If you wanted to have the greatest breathability, what HME would you use?
Energy HME
How often should you clean your voice prosthesis?
Voice prosthesis should be cleaned as needed
What is an example of a swallowing strategy you can use to help make swallowing better post laryngectomy?
Small bites/sips
One bite/sip at a time
Alternate liquids and solids
When did “era of modern voice prostheses” begin?
1972
Swallowing issues do not impact TEP life span
FALSE- swallowing issues can impact device life and cause early leakage if not managed properly
Why would you want to use a fenestrated larytube vs nonfenestrated larytube?
You would want to use a fenestrated larytube if you were using larytube while attempting to voice
What are two reasons to clean your voice prosthesis?
When you notice a leak, clean prosthesis and see if leak stops
Difficulty voicing
What is the medical term for difficulty swallowing?
Dysphagia
In 1978 what two Americans (phoniatrician (voice doc)and head/neck surgeon) develop voice prostheses based on the principle introduced by Mozolewski?
Eric Blom and Mark Singer
If your TEP is leaking, you should immediately call your SLP to get it changed
FALSE- you should clean it first. If leaking does not stop after cleaning, then you should call SLP to get in for TEP change
What adhesive would you use if you wanted to cool and soothe your skin?
Nighttime adhesive
When looking to see if your TEP is leaking, what are the two spots to check for a leak?
Around TEP
Center of TEP
Can you aspirate post laryngectomy?
Yes/no. The only time you can aspirate is if your voice prosthesis is leaking.
Who performed first laryngectomy?
Theodor Billroth
Your HME serves as your nose
TRUE- HMEs are designed to replicate the functions of the nose and upper airways to provide a means to deliver filtered, warm and humified air
What is a good option for someone who struggles with stomal stenosis but has difficulty tolerating larytube?
Larybutton
How long should TEP last? (excluding Activalves)
3-4 months
What is the medical term for inability to open mouth fully?
Trismus
What animal was the procedure of a laryngectomy first experimented on?
Dog
If prothesis dislodges and you do not know where it is, you should then go to ED
TRUE- if you cannot locate voice prosthesis, going to ED to get chest Xray is crucial to rule out prosthesis in lungs
What is another tool to use in combination with daily use of HME to help avoid stoma getting dry/crusted and for mucus management?
Saline drops daily
What does TEP stand for?
Tracheoesophageal puncture
How many fingers stacked should someone be able to fit in their mouth?
3 stacked fingers