Linked Life Data

19353461

Source:http://linkedlifedata.com/resource/pubmed/id/19353461

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2009-4-8
pubmed:abstractText
Tracheostomy cannulas and voice prosthesis are mechanical aids for patients, who for different reasons underwent either tracheostomies or laryngectomies. In this review, indications, surgical procedures, and consequencies of the preceeding surgical intervention are reported for a better understanding of the specific requirements for the artificial aids. In spite of the increasing number of percutaneous dilatation tracheostomies, e. g. in intensive care units, a classical tracheostomy with epithelialized connections between trachea and skin still represents the method of choice for all cases, in which a longer lasting access to the trachea is requested. Special tubes made of different materials, offering different physical qualities are used to keep the tracheostomy open and guarantee an easy access to the lower respiratory tract. For each individual patient the most adequate device must be found out. Voice prostheses allow a fast and effective vocal rehabilitation after laryngectomy. As many models are on the market with differences in terms of material, principle and design of the underlying valve mechanism, size etc., again, in each individual patient the most suitable prosthesis has to be chosen. In combination with special heat and moisture exchangers (HME), such prostheses not only allow a good vocal but also pulmonary rehabilitation. The duration of such prostheses depend on material properties but also on formation of biofilms (mostly consisting of bacteria and fungi) that can destroy the valve mechanism. Whenever possible, and additional valve mechanism covering the opening of the tracheostomy should be used in order to avoid the necessity to close this opening manually during phonation. Each doctor taking care of patients with speech prostheses after laryngectomy should know exactly what to do in case the device fails or gets lost.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1438-8685
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
88 Suppl 1
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S95-118
pubmed:meshHeading
pubmed:year
2009
pubmed:articleTitle
[Tracheostomy cannulas and voice prostheses].
pubmed:affiliation
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie Otto Körner der Universität Rostock, Rostock. burkhard.kramp@med.uni-rostock.de
pubmed:publicationType
Journal Article, Comparative Study, English Abstract, Review