Long-Term Management of Voice Rehabilitation Using Voice Prosthesis (Provox®) After Total Laryngectomy

Voice rehabilitation after total laryngectomy is of paramount importance for improving quality of life following surgery. Tracheoesophageal voice with a voice prosthesis has been considered the gold standard for voice rehabilitation. The success rate of voice rehabilitation using a voice prosthesis is known to be over 90%. However, voice prostheses require regular replacement. The average lifespan of the device is four to six months. Common reasons for replacement include leakage around or within the prosthesis (endo- or periprosthetic leakage). Adjustments to the prosthesis may be necessary to address these adverse events. Provox® (Atos medical, Sweden) has been one of the most widely used voice prostheses. It offers a range of devices to address various issues. Regular follow-up appointments are essential for monitoring voice quality, identifying and addressing any complications, and providing ongoing support and guidance.