inhealth Blom-Singer 16 Fr Serie Manual Del Usuario página 8

The voice prosthesis must be kept clean of mucus and organic
matter in order for it to function properly and to help you speak
with a good quality of voice.
Voice Prosthesis Dislodgement
If the voice prosthesis is accidentally dislodged from the TE
puncture, immediately place a Blom-Singer puncture dilator,
or a suitable device as recommended by your doctor, of the
appropriate diameter, in the puncture to keep it from closing
and leaking fluids. Contact your doctor immediately. The voice
prosthesis should be reinserted within 24 hours.
Care should be exercised when inserting or removing cleaning
devices to avoid accidental displacement of the prosthesis which
could result in aspiration (inhalation) of the voice prosthesis. In
the unlikely event that this should occur, you should attempt
to cough the voice prosthesis out of the windpipe. Immediately
seek medical attention if unsuccessful.
Never insert foreign objects into the voice prosthesis. The
cleaning device is designed for only cleaning dried mucus and
organic matter from the voice prosthesis. Inserting objects other
than the supplied cleaning device may cause dislodgment of the
voice prosthesis or its components and may cause these objects
to be swallowed or inhaled.
Voice Prosthesis Leakage
Recurrent leakage of fluids through the voice prosthesis should
be evaluated by your clinician soon after it is noticed. When the
valve (diagram 2a) fails to close completely a few drops of fluid
may pass back through the valve from the esophagus to the
trachea, which may cause coughing.
Candida species
Most users have a yeast (Candida albicans) in their mouth,
throat, or esophagus; this is a commonly occurring condition.
However, if the prosthesis is not properly cleaned in users who
have this condition, the yeast may grow on the valve of the
voice prosthesis. The yeast is identified by discolored spots on
the prosthesis. Yeast deposits can cause valve deformation and
failure, i.e., liquid leakage through the prosthesis and an increase
in the pressure necessary to voice. Replacement of the prosthesis
8 | 37531-01F