International Journal of Head and Neck Surgery

Register      Login

VOLUME 5 , ISSUE 2 ( May-August, 2014 ) > List of Articles


Blocked Voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity

Sudhir Naik, Rajshekar Halkud, KT Siddappa, Akshay Shivappa, Siddharth Biswas, Ashok M Shenoy, KC Sunil, M Samskruthi, Jagdish Sarvadyna, Purshottam Chavan

Citation Information : Naik S, Halkud R, Siddappa K, Shivappa A, Biswas S, Shenoy AM, Sunil K, Samskruthi M, Sarvadyna J, Chavan P. Blocked Voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity. Int J Head Neck Surg 2014; 5 (2):66-71.

DOI: 10.5005/jp-journals-10001-1184

Published Online: 01-09-2015

Copyright Statement:  Copyright © 2014; The Author(s).



Mechanical prosthetic valve rehabili tation after total laryngectomy have a success rates of 90% in restoring voice. The effective speech is achieved better with mechanical voice prosthesis when compared to esophageal speech and electrolarynx. Candidal growth and tubal blockage are the commonest cause of peri and endotubal leakage causing prosthesis failure.

Case report

A 50-year-old male who had undergone wide field laryngectomy with primary tracheoesophageal puncture (TEP) with voice prosthesis 18 months back complained of blocked voice prosthesis and peritubal leakage. The tip of the cleaning brush which had blocked the opening was removed in the outpa tients under topical anesthesia and the peritubal block reduced.


Mechanical valve prosthesis rehabilitation after primary tracheoesophageal puncture is the standard voice rehabilitation of laryngectomized patients. Patient education regarding maintenance of the prosthesis and the care for the tracheostoma is important in reducing the complications.

How to cite this article

Halkud R, Shenoy AM, Sunil KC, Samskruthi M, Sarvadyna J, Biswas S, Chavan P, Siddappa KT, Shivappa A, Naik SM. Blocked voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity. Int J Head Neck Surg 2014;5(2):66-71.

PDF Share
  1. Total voice prosthesis incarceration in the tracheoesophageal mucosa. Report of a new complication when using phonatory prostheses. Acta Otorinolaringol Esp 2010;61(3):220-224.
  2. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 1980;89: 529-533.
  3. A new low-resistance, selfretaining prosthesis (Provox) for voice rehabilitation after total laryngectomy. Laryngoscope 1990;100:1202-1207.
  4. Groningen prosthesis for voice rehabilitation after laryngectomy. Clin Otolaryngol Allied Sci 1984;9:51-54.
  5. A decade of postlaryngectomy vocal rehabilitation in 318 patients: a single Institution's experience with consistent application of provox indwelling voice prostheses. Arch Otolaryngol Head Neck Surg 2000 Nov;126(11):1320-1328.
  6. Voice following laryngeal cancer surgery: trouble-shooting common problems after tracheoesophageal voice restoration. Otolaryngol Clin North Am 2004 Jun;37(3):597-612.
  7. The missing speaking valve. Int J Otorhinolaryngol 2006;4(2):4772-4774.
  8. Costs and effects of tracheoesophageal speech compared with esophageal speech in laryngectomy patients. Acta Otorhinolaryngol Belg 1994;48:387-394.
  9. Primary tracheoesophageal puncture vs esophageal speech. Arch Otolaryngol Head Neck Surg 1992;118:188-190.
  10. Complications following tracheoesophageal puncture: a tertiary hospital experience. Ann Acad Med Singapore 2010;39:565-568.
  11. Voice rehabilitation with Provox2 voice prosthesis following total laryngectomy for laryngeal and hypopharyngeal carcinoma. Auris Nasus Larynx 2007;34:65-71.
  12. Voice-related quality of life in laryngectomees: assessment using the VHI and V-ROQL symptom scales. Voice 2007; 21:728-734.
  13. Voice handicap and health-related quality of life in laryngectomees: assessments with the use of VHI and EORTC questionnaires. Folia Phoniatr Logop 2009;61:83-92.
  14. An investigation into the quality of life of individuals after laryngectomy. Head Neck 2001;23:16-24.
  15. Prospective randomized comparative study of tracheoesophageal voice prosthesis: blom-singer versus provox. Laryngoscope 1998;108: 1561-1565.
  16. Fístulas fonatorias hoy. Acta Otorrinolaringol Esp 2007;58:110-112.
  17. Voice restoration with voice prosthesis after total laryngectomy. Assessment of survival time of 378 Provox-1, Provox-2 and Blom-Singer voice prosthesis. Laryngorhinootologie 2001 Nov;80(11):677-681.
  18. Current indications and complications of tracheoesophageal puncture for voice restoration after laryngectomy. Curr Opin in Otolaryngol Head Neck Surg 2003;11:89-95.
  19. The groningen, nijdam and provox voice prostheses: a prospective clinical comparison based on 845 replacements. Acta Otolar 1996;116:119-124.
  20. Incidence of tracheooesophageal fistulas after primary voice rehabilitation with the provox or the Eska-Herrmann voice prosthesis. Eur Arch Otorhinolaryngol 2001;258:240-242.
  21. Tissue augmentation using bioplastique as a treatment of leakage around a provox 2 voice prosthesis. J Laryngol Otol 2003;117:80-82.
  22. The use of KTP Laser in the management of hypertrophic tracheal mucosa and granulation tissue around Provox valve prostheses. J Laryngol Otol 2003; 117:60-62.
  23. Outcomes of primary and secondary tracheoesophageal puncture: a 16-year retrospective analysis. Ear Nose Throat J 2006;85: 264-267.
  24. Long-term results of provox voice prosthesis for voice rehabilitation after total laryngectomy a 7 years experience. Int Congress Series 2003;1240:871-877.
  25. Case of the month: a dislodged tracheoesophageal valve: importance of rapid replacement or stenting. Emerg Med J 2006;23:322-323.
  26. Oropharynx decontamination preventing Candida vegetation on voice prostheses. Arch Otolaryngol Head Neck Surg 1986 Oct;112(10):1090-1092.
  27. Primary vs secondary tracheoesophageal puncture for speech rehabilitation in total laryngectomy: long-term results with indwelling voice prosthesis. Otolaryngol Head Neck Surg 2005;133:89-93.
  28. Out-comes of primary and secondary tracheoesophageal puncture: a 16-year retrospective analysis. Ear Nose Throat J 2006;85: 264-267.
  29. Long-term results with tracheoesophageal voice prosthesis: primary versus secondary TEP. Eur Arch Otorhinolaryngol 2008;265:73-77.
  30. Long-term follow-up of tracheoesophageal puncture results. Ann Otol Rhinol Laryngol 1996;105:501-503.
  31. An unusual way of tracheal stoma cleaning could end up with foreign body aspiration in a laryngectomized patient: Tüberküloz ve Toraks Dergisi 2005;53(1):61-64.
  32. Aspirated foreign body in a laryngectomized patient: case report and literature review. Ear Nose Throat J 2001; 80:744-746.
  33. The effects of radiation on tracheoesophageal puncture: a retrospective study. Arch Otolaryngol Head Neck Surg 1989;115:1116-1117.
  34. Rehabilitación quirúrgica de la voz: influencia de la radioterapia postoperatoria en la fístula traqueoesofágica. Acta Otorrinolaringol Esp 1997;48: 299-304.
  35. Reflux as a cause of tracheoesophageal puncture failure. Laryngoscope 2009;119:121-125.
  36. Voice rehabilitation after total laryngectomy and postoperative radiation therapy. J Clin Oncol 2002;20:2500-2505.
  37. Tracheostomy tube fracture: an unusual etiology of upper respiratory airway obstruction. Laryngoscope 1985;95:980-981.
  38. Adult airway foreign body removal. What's new? Clin Chest Med 2001;22:319-330.
  39. Removal of proximal and peripheral endobronchial foreign bodies with the flexible fibreoptic bronchoscope. Anaes Intensive Care 1989;17:205-208.
  40. In situ lifetime, causes for replacement and complications of the Provox voice prosthesis. Laryngoscope 1997;107:527-530.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.