Recent aspects, methods and devices for surgical voice rehabilitation after laryngectomy = Sodobni vidiki, metode in pripomočki za kirurško rehabilitacijo glasu po odstranitvi grla
Lichtenberger, György
After Blom and Singer reported about the construction of the so-called "duck bill" prosthesis in 1980 there were newer and newer voice prostheses constructed by other authors year after year. Besides ...these new constructions of prostheses, new methods were worked out to predict the results, such as theinsufflation and lidocain test. As implanting the voice prosthesis with theBlom-Singer method meant some problems and complications in some cases too,author worked out a simplified esophagotracheal puncture-technique insteadof it. The pharynx is opened with the laryngoscope that is then led up to the entrance of the esophagus. Through the laryngoscope the distal end of the endo-extralaryngeal needle carrier - developed by the author and modified for mass production by the R. WOLF Ltd, Germany - is led into the esophagus. The instrument is pushed forward as long as its distal bent, blunt end is palpable in the upper third of the tracheostoma. The needle with the thread (2/0 prolene) is pushed through from inside out in the upper third of the tracheostoma. A double wire forming a loop is led through the pointed metal cone (in which there is a needle built in) and the catheter, and it is tied behind a conterfixing pierced ball. The 2/0 prolene leading thread is then knotted with the wire. By pulling the thread and the wire, the pointed end of the metal cone with the needle built in, perforates the soft parts and pulls the catheter with itself. After this procedure the voice prosthesis can be placed easily in the fistula on conventional way.
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S klikom na gumb "V redu" boste potrdili zgoraj izbrano prevzemno mesto in dokončali postopek rezervacije.
S klikom na gumb "V redu" boste potrdili zgoraj izbrano prevzemno mesto in naslov za dostavo ter dokončali postopek rezervacije.
S klikom na gumb "V redu" boste potrdili zgoraj izbrani naslov za dostavo in dokončali postopek rezervacije.
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