THE IMPORTANCE OF NON-INDWELLING PATIENT CHANGEABLE VOICE PROTHESIS
Patient changeable Voice Prosthesis were the beginning of TEP Voice restoration as we know it today. Evidence suggests that the original non-indwelling (Patient Changeable) Voice Prosthesis is still is an ideal voice prosthesis choice for TEP voice restoration and device life for some patients. Patient changeable Voice Prosthesis are an important consideration for patients with limited access to hands on Speech Pathology services trained in TEP Speech and for those patients experiencing central leakage as a result of pressure. Some evidence suggests “on average Indwelling Voice Prosthesis only have a 1 month durational advantage” over non-indwelling prosthesis for some patients. In these cases, it makes sense to consider a non-indwelling alternative for certain patient populations. Non-indwelling devices offer a more affordable option because the product is less expensive and does not require a visit to you.
“These factors suggest that for select patients, the relative advantage of self-insertion of the non-indwelling device in lieu of the indwelling prosthesis may represent a worthwhile departure from current practice in which placement of the indwelling prosthesis has, in many cases, become the standard approach”. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5322740/
- Katrina Ginsburg