Description

The Blom-Singer Voice Prosthesis with a Large Esophageal Flange is a specialized device designed for individuals who have undergone a total laryngectomy. This indwelling voice prosthesis plays a crucial role in voice restoration by enabling tracheoesophageal speech. It is expertly crafted to be inserted into a surgically created tracheoesophageal puncture, allowing air to pass from the lungs into the esophagus for speech, while effectively preventing food, liquids, or saliva from entering the trachea.

Key Features

• Enhanced Seal and Stability: The large esophageal flange is engineered to provide an improved seal, managing leakage around the prosthesis. This feature is particularly beneficial for patients with enlarged or irregular puncture tracts, enhancing stability and preventing periprosthetic leakage.

• Double Flange Design: The device includes both esophageal and tracheal flanges, offering enhanced stability in irregular or enlarged punctures.

• One-Way Valve Mechanism: This mechanism allows airflow for speech while preventing aspiration, ensuring safe and effective communication.

• Medical-Grade Silicone: Constructed from robust and durable medical-grade silicone, the prosthesis is designed for longevity and ease of maintenance.

Sizes and Dimensions

Available in diameters of 16 French (FR) and 20 French (FR), and lengths ranging from 4 mm to 14 mm, the prosthesis accommodates a variety of anatomical needs. The esophageal flange size extends up to 19 mm, compared to the standard 12 mm, providing a tailored fit for effective performance.

Placement and Use

This clinician-placed device is part of the indwelling type, meaning it is placed and replaced by healthcare professionals. It may be used in conjunction with a heat and moisture exchanger (HME) for comprehensive speech and pulmonary rehabilitation. Achieving a snug flange-to-flange seal with optimal prosthesis length is essential for its effectiveness.

Maintenance and Care

Regular cleaning is necessary to prevent yeast and bacterial growth, as the device is not biofilm resistant. The lifetime of the device varies, influenced by factors such as diet, radiotherapy, and reflux, with common reasons for replacement including leakage and wear.

Customization and Special Orders

The 20FR Rapid Response Range is a special order valve, with custom modifications available through the Rapid Response Program. These modifications can include larger tracheal flanges, stronger valves, and special shaft lengths, tailored to meet specific patient needs.

The Blom-Singer Voice Prosthesis with Large Esophageal Flange is a vital tool in voice rehabilitation, offering tailored solutions for those with unique anatomical challenges post-laryngectomy.